CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Wabash General Hospital 1

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $139
Cash Discount Price: $225
vs. Medicare Baseline: 0.77x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Wabash General Hospital 1 is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $225. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.77x the Medicare baseline. Located in 1418 College Drive, Mount Carmel, IL.

Cash / Self-Pay

$225

Average discount available for prompt cash payment at this facility.

Insurance Median

$139

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: $225 (124%)

Insurance Median: $139 (77%)

Cash: $225 (124% of Medicare)

Ins. Median: $139 (77% 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	$37 - $373	20%
Health Alliance Mcr Adv - All Plans	$39 - $102	22%
UnitedHealthcare	$39 - $258	22%
Aetna	$82 - $373	45%
Healthlink Hmo	$87 - $226	48%
Cigna	$94 - $242	52%
Encore Combined Ip/Op Only	$94 - $242	52%
Hope Trust - All Plans	$94 - $242	52%
Healthlink Ppo - All Other Plans	$100 - $258	55%
Phcs - All Plans	$100 - $258	55%
Health Smart - All Plans	$106 - $274	58%
Hfn - All Plans	$106 - $274	58%
Multiplan - All Plans	$106 - $274	58%
Siho Network - All Plans	$106 - $274	58%
Encore Health Network Ip/Op Only - All Other Plans	$112 - $290	62%
Meridian Mcaid - All Plans	$373	206%
Molina Mcaid - All Plans	$373	206%

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 $225.
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 Wabash General Hospital 1 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.