CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Lutheran Hospital of Indiana

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $165
  • Cash Discount Price: $109
  • vs. Medicare Baseline: 0.91x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Lutheran Hospital of Indiana is $165. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $109. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.91x the Medicare baseline. Located in 7950 W Jefferson Blvd, Fort Wayne, IN.
Cash / Self-Pay
$109

Average discount available for prompt cash payment at this facility.

Insurance Median
$165

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: $109 (60%)
Insurance Median: $165 (91%)
Cash: $109 (60% of Medicare)
Ins. Median: $165 (91% 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
Physicians Health Plan Of Northern Indiana $50 - $158 28%
Ky Work Comp $51 - $101 28%
Amish Aid $60 - $120 33%
Lutheran Preferred Network $60 - $241 33%
Self Pay $60 - $144 33%
Cigna $65 - $146 36%
Php Freedom Network $67 - $133 37%
Blue Cross Blue Shield $75 - $772 41%
Aetna $80 - $191 44%
Lutheran Preferred $80 - $160 44%
Sagamore $92 - $217 51%
Encore Ppo $98 - $196 54%
Lutheran Network $100 - $376 55%
One Call Care Diagnostics $134 74%
Multiplan $147 - $333 81%
Veterans Eval Services $150 83%
Prime Health Services $151 - $338 83%
Encore Health Network $165 - $361 91%
UnitedHealthcare $166 - $188 92%
Advantage Health Solutions $167 - $333 92%
Allied Benefit Systems $181 - $361 100%
Evolutions $181 - $361 100%
Humana $185 102%
Iu Health Plan $185 102%
Managed Health Services $185 - $376 102%
Medicare (plans) $185 102%
Node Devoted Health Mcr Adv $188 104%
Node Hospice Non Par Agree $188 104%
Node Va $188 104%
In Dept Of Correction $195 108%
Node Pphp Mcr Adv $197 109%
Us Department Of Labor $235 130%
Lutheran Advanced Network $282 156%
Node Lutheran Network $282 - $329 156%
Node Lutheran Preferred Fixed 2 $282 156%
Align Network $300 165%
Encore Work Comp In $338 186%
Node Encore Kba Epo $451 249%
Node Encore Kba Ppo $563 310%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals