CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: St Anthony Regional Hospital & Nursing Home

Billing Code: 90837 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$136

about 0.8× the $181 Medicare rate · typically $136–$228

modeled estimate · not a bill or quote

Medicare pays $181 Fair price $136 Cash price $145 Hospital's list price $145

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$49 - $215	27%
Blue Cross Blue Shieldmajor	$49 - $281	27%
Aetnamajor	$49 - $148	27%
Humanamajor	$49 - $239	27%
Medica	$49 - $134	27%
Molina	$57 - $287	31%
+ 3 smaller / regional plans	$50 - $281

Government programs also on file: Military & VA.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 145), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90837.

Insurance Before you use insurance

Call your insurance company to confirm St Anthony Regional Hospital & Nursing Home is in-network.
Ask your insurer whether prior approval is required for CPT code 90837.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at St Anthony Regional Hospital & Nursing Home

Compare: Psychotherapy session (60 minutes) at other IA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.