CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Sarah D Culbertson Memorial Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $305
  • Cash Discount Price: $305
  • vs. Medicare Baseline: 1.68x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Sarah D Culbertson Memorial Hospital is $305. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $305. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.68x the Medicare baseline. Located in 238 South Congress Street, Rushville, IL.
Cash / Self-Pay
$305

Average discount available for prompt cash payment at this facility.

Insurance Median
$305

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: $305 (168%)
Insurance Median: $305 (168%)
Cash: $305 (168% of Medicare)
Ins. Median: $305 (168% 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
Blue Cross Blue Shield $138 - $505 76%
Humana $146 81%
Molina Mmai-All Other Plans $146 81%
UnitedHealthcare $146 - $305 81%
Aetna $149 - $505 82%
Cigna $251 138%
Beech Street-All Plans $305 168%
Encompass-All Plans $305 168%
Health Dynamics-All Plans $305 168%
Healthlink-All Plans $305 168%
Hfn Epo $305 168%
Hfn Ppo Ip/Op Only-All Other Plans $305 168%
Multiplan/Phcs-All Plans $305 168%
Preferred Medical Claims Solution-All Plans $305 168%
Three Rivers Provider Network-All Plans $305 168%
Wexford Ip/Op Only-All Plans $305 168%
Healthsmart-All Plans $322 178%
Corvel-All Plans $505 278%
Meridian Hp Mcaid-All Plans $505 278%
Molina Healthcare Mcaid $505 278%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 238 South Congress Street, Rushville, IL 62681
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals