CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Clearwater Valley Hospital & Clinics

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $130
Cash Discount Price: $103
vs. Medicare Baseline: 0.72x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Clearwater Valley Hospital & Clinics is $130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $103. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.72x the Medicare baseline. Located in 301 Cedar Street, Orofino, ID.

Cash / Self-Pay

$103

Average discount available for prompt cash payment at this facility.

Insurance Median

$130

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: $103 (57%)

Insurance Median: $130 (72%)

Cash: $103 (57% of Medicare)

Ins. Median: $130 (72% 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
Aetna	$43 - $215	24%
Blue Cross Blue Shield	$43 - $212	24%
Humana	$43 - $210	24%
Nimiipuu Mcr Adv-All Plans	$43 - $134	24%
Pacific Source - All Plans	$43 - $138	24%
Regence Blue Shield Mcr	$43 - $134	24%
Veterans Amin-All Plans	$43 - $134	24%
Corizon Correctnal Med-All Plans	$58 - $168	32%
Idaho Phys Network-All Plans	$75 - $205	41%
First Choice-All Plans	$77 - $212	42%
Geha-All Plans	$77 - $212	42%
Multiplan / Phcs-All Plans	$77 - $210	42%
Regence Blue Shield-All Other Plans	$79 - $216	44%
UnitedHealthcare	$189	104%
Cigna	$260	143%

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 $103.
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 Clearwater Valley Hospital & Clinics 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.