CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Alexian Brothers Medical Center 1

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $209
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.15x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Alexian Brothers Medical Center 1 is $209. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.15x the Medicare baseline. Located in 800 Biesterfield Rd, Elk Grove Village, IL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$209

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%)
Insurance Median: $209 (115%)
Ins. Median: $209 (115% 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
Aarp $159 88%
UnitedHealthcare $159 - $169 88%
Aetna $167 - $477 92%
Blue Cross Blue Shield $167 - $461 92%
Covid-19 Uninsured $167 92%
Humana $167 92%
Medicare (plans) $167 - $173 92%
Molina Healthcare Of Illinois $173 95%
Bright Health $209 115%
Smarthealth $234 129%
Actin Care $260 143%
Ambetter / Centene $271 149%
Cigna $450 - $468 248%
County Care $477 263%
Family Health Plan $477 263%
Harmony Health Plan $477 263%
Illinicare $477 263%
Medicaid / KanCare $477 263%
Meridian $477 263%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Biesterfield Rd, Elk Grove Village, IL 60007
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals