CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: University of Iowa Hospital & Clinics

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $211
  • Cash Discount Price: $244
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at University of Iowa Hospital & Clinics is $211. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $244. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.16x the Medicare baseline. Located in 200 Hawkins Drive, Iowa City, IA.
Cash / Self-Pay
$244

Average discount available for prompt cash payment at this facility.

Insurance Median
$211

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: $244 (135%)
Insurance Median: $211 (116%)
Cash: $244 (135% of Medicare)
Ins. Median: $211 (116% 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
Immergrun $62 - $87 34%
UnitedHealthcare $93 - $739 51%
Iowa Total Care $99 - $157 55%
Molina Healthcare $99 - $139 55%
Blue Cross Blue Shield $119 - $196 66%
Healthpartners $124 - $296 68%
Medical Associates $124 - $524 68%
Quad City Community Healthcare $124 - $261 68%
Midlands Choice $130 - $484 72%
Aetna $132 - $306 73%
American Health Plan $138 - $159 76%
Wellpoint (Amerigroup) $138 - $159 76%
Oscar Health $156 - $219 86%
Great River Health Systems $174 - $244 96%
Aplos Health Plan $198 - $332 109%
Sedgwick $198 - $278 109%
Global Excel $211 - $296 116%
Sanford Health Plan $211 - $296 116%
Sisco $218 - $306 120%
Employee Benefit Systems $223 - $313 123%
Healthsmart $223 - $313 123%
Hfn $228 - $320 126%
Multiplan $228 - $320 126%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Hawkins Drive, Iowa City, IA 52242
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals