CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Sarah Bush Lincoln Health Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $204
  • Cash Discount Price: $298
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Sarah Bush Lincoln Health Center is $204. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $298. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.12x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$298

Average discount available for prompt cash payment at this facility.

Insurance Median
$204

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: $298 (164%)
Insurance Median: $204 (112%)
Cash: $298 (164% of Medicare)
Ins. Median: $204 (112% 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
Plain Church Mg-All Plans $102 - $136 56%
Mennonite-All Plans $114 - $153 63%
Aetna $135 - $307 74%
Bc Comm Mmai $135 - $204 74%
Beacon Health Options Behav-All Plans $135 - $204 74%
Hlth Alliance Mcr Adv $135 - $204 74%
Humana $135 - $208 74%
Meridian Mcaid $135 - $194 74%
Meridian Mmai-All Other Plans $135 - $204 74%
Molina Mmai-All Other Plans $135 - $204 74%
Tricare $135 - $204 74%
UnitedHealthcare $135 - $283 74%
Va Ccn-All Plans $135 - $204 74%
Wellcare Med Adv-All Plans $135 - $204 74%
Bc Med Adv Ppo/Hmo $139 - $210 77%
Cigna $142 - $307 78%
Eiu Athlete-All Other Plans $178 - $239 98%
Bc Comm Care Mcaid $183 - $194 101%
Hlth Alliance Mcaid $183 - $194 101%
Molina Mcaid $183 - $194 101%
Healthscope-All Plans $188 - $252 104%
Rural King-All Plans $188 - $252 104%
Blue Cross Blue Shield $196 - $273 108%
First Health-All Plans $200 - $290 110%
Consociate-All Plans $203 - $307 112%
Hope Trust-All Plans $203 - $273 112%
Eiu Student $208 - $280 115%
Allied National-All Plans $213 - $286 117%
Companion Life-All Plans $213 - $286 117%
Hlth Alliance-All Other Plans $213 - $286 117%
Innovative Hlthware-All Plans $216 - $290 119%
Healthlink Hmo $218 - $293 120%
Healthlink Ppo - All Other Plans $218 - $293 120%
Multiplan-All Plans $218 - $293 120%
Cphp-All Plans $229 - $307 126%
Beech Street-All Plans $234 - $314 129%
Hfn-All Plans $234 - $314 129%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Health Center Drive P O Box 372, Mattoon, IL 61938
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals