CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Rush University Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $261
Cash Discount Price: $258
vs. Medicare Baseline: 1.44x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Rush University Medical Center is $261. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $258. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.44x the Medicare baseline. Located in 1653 West Congress Parkway, Chicago, IL.

Cash / Self-Pay

$258

Average discount available for prompt cash payment at this facility.

Insurance Median

$261

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: $258 (142%)

Insurance Median: $261 (144%)

Cash: $258 (142% of Medicare)

Ins. Median: $261 (144% 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
Cigna	$155 - $516	85%
Blue Cross Blue Shield	$165 - $516	91%
County Care Mcaid - All Plans	$194	107%
Meridian Mcaid - All Other Plans	$194	107%
Aetna	$196 - $516	108%
Molina Fide-Snp	$198	109%
Meridian Dnsp	$200	110%
Molina Mcaid	$206	114%
Ambetter / Centene	$257	142%
Molina Exch - All Other Plans	$259	143%
Devoted Mcr Adv - All Plans	$516	285%
Humana	$516	285%
UnitedHealthcare	$516 - $697	285%
Wellcare Mcr Adv - All Plans	$516	285%
Zing Hlth Mcr Adv - All Plans	$547	302%

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 $258.
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 Rush University Medical Center 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.