CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Sarah Bush Lincoln Health Center

Billing Code: 90837 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$167

about 0.9× the $181 Medicare rate · typically $92–$188

modeled estimate · not a bill or quote

What this hospital charges insurers

$189

About the fair price

about $22 over the fair price · 1.0× Medicare

Medicare pays $181 Fair price $167 This hospital $189 Cash price $298 Hospital's list price $298

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $75 Priciest $189

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

A fair price for a Psychotherapy session (60 minutes) is about $167 (about 0.9× the $181 Medicare rate). Sarah Bush Lincoln Health Center charges insurers about $189, or about $298 in cash — about the fair price. Located in Mattoon, IL.

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	$135 - $283	74%
Blue Cross Blue Shieldmajor	$196 - $273	108%
Aetnamajor	$135 - $307	74%
Cignamajor	$142 - $307	78%
Humanamajor	$135 - $208	74%
HealthLink	$218 - $293	120%
Meridian	$135 - $204	74%
Molina	$135 - $204	74%
WellCare	$135 - $204	74%
+ 18 smaller / regional plans	$102 - $307

Government programs also on file: Military & VA.

Excludes 6 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 298), 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 Sarah Bush Lincoln Health 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 Sarah Bush Lincoln Health Center

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

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