CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Memorial Hospital of Carbon County

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $212
  • Cash Discount Price: $207
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Memorial Hospital of Carbon County is $212. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $207. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.17x the Medicare baseline. Located in 2221 West Elm Street, Rawlins, WY.
Cash / Self-Pay
$207

Average discount available for prompt cash payment at this facility.

Insurance Median
$212

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)
Cash / Self-Pay: $207 (114%)
Insurance Median: $212 (117%)
Cash: $207 (114% of Medicare)
Ins. Median: $212 (117% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Three_River_Providers_Network $166 - $248 92%
Wise_Provider_Networks $166 - $248 92%
Zelis $166 - $248 92%
Blue Cross Blue Shield $172 - $305 95%
Medicare (plans) $172 95%
Vaccn $172 95%
Corechoice $199 - $298 110%
First_Choice_Health $199 - $298 110%
Cigna $206 - $308 114%
UnitedHealthcare $212 - $318 117%
Interwests_Ppo_Network $214 - $321 118%
Multiplan $214 - $321 118%
Medicaid / KanCare $331 183%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2221 West Elm Street, Rawlins, WY 82301
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals