CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Lost Rivers Medical Center

Billing Code: 90837 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$225

about 1.2× the $181 Medicare rate · typically $143–$549

modeled estimate · not a bill or quote

What this hospital charges insurers

$294

Above the fair price

about $69 over the fair price · 1.6× Medicare

Medicare pays $181 Fair price $225 This hospital $294 Cash price $235 Hospital's list price $294

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

On the higher side — 6 of 8 other ID hospitals charge less.

Cheapest $129 Priciest $415

Black dot = this hospital, among the 9 ID hospitals with a price for this procedure. Full list below.

A fair price for a Psychotherapy session (60 minutes) is about $225 (about 1.2× the $181 Medicare rate). Lost Rivers Medical Center charges insurers about $294, or about $235 in cash — above the fair price. Located in Arco, ID.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $225. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$279	154%
Blue Cross Blue Shieldmajor	$185 - $294	102%
Aetnamajor	$200 - $276	110%
Cignamajor	$273	151%
Humanamajor	$185 - $294	102%
Molina	$185	102%
PacificSource	$185 - $279	102%
SelectHealth	$185	102%
+ 6 smaller / regional plans	$105 - $326

Government programs also on file: Military & VA.

Excludes 3 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 235), 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 Lost Rivers Medical Center 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 Lost Rivers Medical Center

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

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