CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Cherokee Regional Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $817
  • Cash Discount Price: $735
  • vs. Medicare Baseline: 4.51x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Cherokee Regional Medical Center is $817. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $735. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 4.51x the Medicare baseline. Located in 300 Sioux Valley Drive, Cherokee, IA.
Cash / Self-Pay
$735

Average discount available for prompt cash payment at this facility.

Insurance Median
$817

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: $735 (405%)
Insurance Median: $817 (451%)
Cash: $735 (405% of Medicare)
Ins. Median: $817 (451% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 451% of the Medicare baseline (a markup of 351%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $433 - $817 239%
Blue Cross Blue Shield $433 - $817 239%
Health Partners $433 - $817 239%
Humana $433 - $817 239%
UnitedHealthcare $433 - $817 239%
Wellpoint $433 - $817 239%
Iowa Total Care $449 - $817 248%
Molina $449 - $817 248%
Admin Concepts $817 451%
American Republic $817 451%
Apw $817 451%
Auxiant $817 451%
Avera $817 451%
Bankers Life $817 451%
Champus $817 451%
Cigna $817 451%
Liability $817 451%
Meridian $817 451%
Meritain $817 451%
Midlands $817 451%
Mutual Of Omaha $817 451%
Occunet $817 451%
Physicians Mutual $817 451%
Private Healthcare $817 451%
Sanford $817 451%
United American $817 451%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Sioux Valley Drive, Cherokee, IA 51012
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals