CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Lost Rivers Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $194
  • Cash Discount Price: $235
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Lost Rivers Medical Center is $194. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $235. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.07x the Medicare baseline. Located in 551 Highland Drive, Arco, ID.
Cash / Self-Pay
$235

Average discount available for prompt cash payment at this facility.

Insurance Median
$194

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: $235 (130%)
Insurance Median: $194 (107%)
Cash: $235 (130% of Medicare)
Ins. Median: $194 (107% 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
Magellan Bh Op Only - All Plans $105 58%
Select Health Brightpath-All Other Plans $167 92%
Tricare $167 92%
Ihcn Brightpath-All Other Plans $176 97%
Va Pccc-All Plans $180 99%
Blue Cross Blue Shield $185 - $294 102%
Humana $185 - $294 102%
Ihcn Brightpath Mcr Adv $185 102%
Molina Mcr Adv-All Plans $185 102%
Pacificsource Mcr Adv $185 102%
Regence/Brightpth Slhp Mcr $185 102%
Select Health Mcr Adv $185 102%
Prime Hlth Mcr Adv $194 107%
Aetna $200 - $276 110%
Cigna $273 151%
First Choice-All Plans $273 151%
Pacificsource Navigator-All Other Plans $279 154%
UnitedHealthcare $279 154%
Altius Health Plan-All Plans $285 157%
Regence Blue Shield-All Other Plans $288 159%
Provider Network Of America-All Plans $326 180%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 551 Highland Drive, Arco, ID 83213
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals