CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Kosciusko Community Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $173
  • Cash Discount Price: $74
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Kosciusko Community Hospital is $173. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $74. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.95x the Medicare baseline. Located in 2101 E Dubois Dr, Warsaw, IN.
Cash / Self-Pay
$74

Average discount available for prompt cash payment at this facility.

Insurance Median
$173

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: $74 (41%)
Insurance Median: $173 (95%)
Cash: $74 (41% of Medicare)
Ins. Median: $173 (95% 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 $42 - $69 23%
Self Pay $42 - $128 23%
Lutheran Preferred Network $64 - $263 35%
Physicians Health Plan $74 - $152 41%
Php Freedom Network $78 - $127 43%
UnitedHealthcare $78 - $201 43%
Encore $80 - $132 44%
Trma Inc $80 - $148 44%
Aetna $82 - $198 45%
Connecticut General Life Insurance Company $118 - $194 65%
Cigna $127 - $208 70%
One Call Care Diagnostics Wc $134 74%
Veterans Eval Services $150 83%
First Health Network $151 - $247 83%
Prime Health Services $151 - $362 83%
Advantage Health $167 - $273 92%
Private Healthcare Systems $173 - $283 95%
Sagamore $177 - $309 98%
Encore Health Network $187 - $306 103%
Blue Cross Blue Shield $198 - $772 109%
Humana $198 109%
Medicare (plans) $198 109%
Mhs $198 109%
Iu Health $201 111%
Node Non Par Hospice Agree $201 111%
Node Va $201 111%
Node Devoted Health Mcr Adv $202 111%
In Dept Of Correction $209 115%
Node Pphp Mcr Adv $211 116%
Us Department Of Labor $251 138%
Lutheran Advanced Network $302 167%
Lutheran Preferred $302 - $402 167%
Align In Work Comp $322 178%
One Call Work Comp $322 178%
Encore Work Comp In $362 200%
Managed Health Services Exchange $402 222%
Workers Comp $402 222%
Encore Kba Epo $483 266%
Encore Kba Ppo $603 333%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2101 E Dubois Dr, Warsaw, IN 46580
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals