CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Northwestern Medicine Central Dupage Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $214
Cash Discount Price: $368
vs. Medicare Baseline: 1.18x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Northwestern Medicine Central Dupage Hospital is $214. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $368. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.18x the Medicare baseline. Located in 25 North Winfield Road, Winfield, IL.

Cash / Self-Pay

$368

Average discount available for prompt cash payment at this facility.

Insurance Median

$214

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: $368 (203%)

Insurance Median: $214 (118%)

Cash: $368 (203% of Medicare)

Ins. Median: $214 (118% 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
Blue Cross Blue Shield	$18 - $794	10%
Countycare Il Cook Co [1607]	$18 - $55	10%
Medicaid / KanCare	$18 - $55	10%
Aetna	$37 - $457	20%
Cigna	$55 - $635	30%
Carelon Behavioral Health [159]	$128 - $397	71%
Health'S Finest Network [126]	$128 - $724	71%
UnitedHealthcare	$129 - $794	71%
Multiplan/Phcs [142]	$147 - $794	81%
Dreyer Med Ipa Advocate [1409]	$154 - $476	85%
Humana	$154 - $794	85%
Magellan Behavioral Hlth [136]	$154 - $476	85%
Healthlink [125]	$161 - $500	89%
The Alliance [1703]	$164 - $510	90%
Choicecare [177]	$196 - $608	108%
First Health Plan [6034]	$197 - $611	109%
Compsych [112]	$205 - $635	113%

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 $368.
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 Northwestern Medicine Central Dupage Hospital 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.