CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: St Joseph Health System, LLC

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $178
  • Cash Discount Price: $95
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at St Joseph Health System, LLC is $178. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $95. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.98x the Medicare baseline. Located in 702 Van Buren St., Fort Wayne, IN.
Cash / Self-Pay
$95

Average discount available for prompt cash payment at this facility.

Insurance Median
$178

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: $95 (52%)
Insurance Median: $178 (98%)
Cash: $95 (52% of Medicare)
Ins. Median: $178 (98% 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
Amish Aid $48 - $79 26%
Self Pay $48 - $181 26%
Php $50 - $131 28%
Lutheran Preferred $57 - $197 31%
Php Freedom Network $63 - $103 35%
Cigna $65 - $329 36%
Blue Cross Blue Shield $73 - $772 40%
Lutheran Network $90 - $376 50%
Three Rivers $90 - $148 50%
Aetna $92 - $224 51%
Encore Ppo $103 - $296 57%
Sagamore $105 - $178 58%
Multiplan $139 - $257 77%
Veterans Eval Services $150 83%
First Health $151 - $247 83%
Prime Health Services $151 - $338 83%
Align Network $161 - $263 89%
Frontpath Health Coalition $161 - $263 89%
UnitedHealthcare $166 - $188 92%
Advantage Health Solutions $167 - $273 92%
Allied Benefit Systems $181 - $296 100%
Humana $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%
Medical Mutual Of Ohio $201 - $329 111%
Parkview Healthplan Services $201 - $329 111%
Value Options $201 - $329 111%
Us Department Of Labor $235 130%
Lutheran Advanced Network $282 156%
Encore Work Comp In $338 186%
Work Comp $376 207%
Encore Kba Epo $451 249%
Encore Kba Ppo $563 310%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 702 Van Buren St., Fort Wayne, IN 46802
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals