CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Valor Health

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $155
Cash Discount Price: $314
vs. Medicare Baseline: 0.85x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Valor Health is $155. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $314. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.85x the Medicare baseline. Located in 1202 East Locust Street, Emmett, ID.

Cash / Self-Pay

$314

Average discount available for prompt cash payment at this facility.

Insurance Median

$155

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: $314 (173%)

Insurance Median: $155 (85%)

Cash: $314 (173% of Medicare)

Ins. Median: $155 (85% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Tricare	$55 - $151	30%
Aetna	$56 - $276	31%
Blue Cross Blue Shield	$56 - $336	31%
Blue Shield Mcr Adv	$56 - $155	31%
Humana	$56 - $324	31%
Molina Mcr Adv - All Plans	$56 - $155	31%
Regence Bs Triwest - All Plans	$56 - $155	31%
Pacificsource Mcr Adv	$59 - $163	33%
Cigna	$108 - $305	60%
Blue Shield Comm - All Other Plans	$114 - $314	63%
Moda Health - All Plans	$114 - $314	63%
Pacificsource Comm - All Other Plans	$114 - $314	63%
Select Health Comm - All Other Plans	$114 - $314	63%
Select Health Mcr Adv	$134	74%
UnitedHealthcare	$134 - $306	74%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $314.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90837.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Valor Health is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90837.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.