CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Northwest Health-La Porte

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $267
  • Cash Discount Price: $149
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Northwest Health-La Porte is $267. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $149. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.47x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.
Cash / Self-Pay
$149

Average discount available for prompt cash payment at this facility.

Insurance Median
$267

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: $149 (82%)
Insurance Median: $267 (147%)
Cash: $149 (82% of Medicare)
Ins. Median: $267 (147% 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
Lutheran $92 - $93 51%
Self Pay $113 - $185 62%
One Call $134 74%
Php $141 - $142 78%
Lutheran Preferred Medpartners $143 79%
Alpha Baking $153 - $154 84%
UnitedHealthcare $167 - $251 92%
Aetna $185 - $284 102%
Blue Cross Blue Shield $185 - $765 102%
Humana $185 102%
Medicare (plans) $185 102%
Node Hospice Non Par Agree $188 104%
Node Va $188 104%
Va Choice Program $188 104%
Node Devoted Health Mcr Adv $189 104%
Managed Health Services $194 - $376 107%
Indiana Dept Of Correction $196 108%
Node Pphp Mcr Adv $198 109%
Php Freedom Network $205 - $206 113%
Encore $222 - $339 122%
Us Department Of Labor $235 130%
County Of Laporte $239 - $240 132%
Cigna $253 - $255 140%
Prime Health Services $256 - $257 141%
Prime Health Services Auto $256 - $257 141%
Ihn $273 - $274 151%
Community Health Alliance $297 - $298 164%
Lutheran Network $300 - $376 165%
Sagamore Health Network $300 - $302 165%
Chandler Group $307 - $309 169%
Hfn Workers Compensation $307 - $309 169%
Multiplan $307 - $309 169%
Phcs $307 - $309 169%
Prime Health In Work Comp $339 187%
In Wc $376 207%
Encore Kba Epo $452 249%
Magnacare Ma $461 254%
Encore Kba Ppo $565 312%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1007 Lincolnway, La Porte, IN 46350
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals