CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Deaconess Illinois Crossroads

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $167
Cash Discount Price: $104
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Deaconess Illinois Crossroads is $167. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.92x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.

Cash / Self-Pay

$104

Average discount available for prompt cash payment at this facility.

Insurance Median

$167

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: $104 (57%)

Insurance Median: $167 (92%)

Cash: $104 (57% of Medicare)

Ins. Median: $167 (92% 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	$92 - $235	51%
Blue Cross Blue Shield	$92 - $191	51%
Meridian Health Plan	$92 - $167	51%
Molina Healthcare Of Illinois	$92 - $169	51%
Wellcare	$92 - $167	51%
Self-Pay	$104	57%
Cigna	$116	64%
Humana	$131 - $232	72%
Mytru Advantage	$131 - $167	72%
Umwa	$131 - $167	72%
UnitedHealthcare	$131 - $167	72%
Healthlink	$159 - $171	88%
Care Improvement Plus	$171	94%
Alliance Coal	$181 - $276	100%
Deaconess Onecare	$196	108%
Alter-Net Medical Services, Inc.	$210 - $477	116%
Noncontracted	$210 - $268	116%
Prime Health Services	$224	124%
Guardian Resources, Inc.	$250	138%
Healthcare'S Finest Network (Hfn)	$253	140%
Medicalcontrol Network Solutions	$253	140%
National Provider Network	$253	140%
Three Rivers Provider Network	$259	143%
Beech Street	$262	144%
Hope Trust	$477	263%

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 $104.
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 Deaconess Illinois Crossroads 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.