Psychotherapy session (60 minutes)
Facility: University Of Kansas Health System - St Francis Campus
Billing Code: 90837 (CPT)
- CPT Billing Code: 90837
- Insurance Median: $258
- Cash Discount Price: $155
- vs. Medicare Baseline: 1.42x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Black Lung [6055] | $212 | 117% |
| Lucent Health [6000] | $212 | 117% |
| Healthcare Highways [2210] | $212 | 117% |
| Oncology Patient Assistance Programs [2295] | $212 | 117% |
| Blue Cross Blue Shield | $212 | 117% |
| Aetna | $212 | 117% |
| Web Tpa [2115] | $212 | 117% |
| Hooray Health [8000] | $212 | 117% |
| Department Of Corrections [1340] | $258 | 142% |
| Cigna | $298 | 164% |
| American Postal Workers Union [1070] | $298 | 164% |
| Healthpartners [1500] | $298 | 164% |
| National Association Of Letter Carriers [1695] | $298 | 164% |
| Humana | $304 | 168% |
| 1199 Seiu Benefit Fund [3505] | $347 | 191% |
| Enablecomp [1350] | $361 | 199% |
| Worker'S Comp [2125] | $361 | 199% |
| First Health [1375] | $401 | 221% |
| Administrative Concepts [1005] | $401 | 221% |
| Multiplan [1680] | $401 | 221% |
| American Healthcare [1055] | $401 | 221% |
| Coventry Healthcare [1320] | $423 | 233% |
| Ks Disability Determination [6090] | $516 | 285% |
Consumer Guidance & Cost Commentary
For this psychotherapy session at the University of Kansas Health System - St Francis Campus in Topeka, the cash price is $155, which is significantly lower than the facility's gross charge of $516. While the median negotiated rate across 23 payers is $258, patients with high-deductible plans may find the cash price more advantageous if their insurance allows for out-of-network payments or if the negotiated rate exceeds the cash amount. It is important to note that the facility's cash rate is well below the state average, offering a clear opportunity for cost savings when paying directly.
When comparing this service to the Medicare benchmark, the cash price of $155 is approximately 85% of the Medicare rate of $181.34, indicating a pricing structure that aligns closely with fair value standards rather than the typical 200% to 300% markup seen in commercial chargemasters. Although the facility is a voluntary non-profit church-owned hospital, patients should proactively ask about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can further reduce the final bill by bypassing administrative fees and insurance processing costs.