CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Northwestern Medicine Kishwaukee Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $154
Cash Discount Price: $160
vs. Medicare Baseline: 0.85x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Northwestern Medicine Kishwaukee Hospital is $154. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $160. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.85x the Medicare baseline. Located in One Kish Hospital Drive, Dekalb, IL.

Cash / Self-Pay

$160

Average discount available for prompt cash payment at this facility.

Insurance Median

$154

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: $160 (88%)

Insurance Median: $154 (85%)

Cash: $160 (88% of Medicare)

Ins. Median: $154 (85% 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
Aetna	$42 - $197	23%
Health'S Finest Network [126]	$103 - $211	57%
UnitedHealthcare	$115 - $229	63%
Cigna	$121 - $122	67%
Blue Cross Blue Shield	$128 - $229	71%
The Alliance [1703]	$149	82%
Healthlink [125]	$172	95%
Choicecare [177]	$173	95%
Multiplan/Phcs [142]	$179 - $229	99%
Coventry [1218]	$197	109%
Coventryone Ppo [17110]	$197	109%
First Health Plan [6034]	$197	109%

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 $160.
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 Kishwaukee 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.