CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: University Of Kansas Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $245
Cash Discount Price: $78
vs. Medicare Baseline: 1.35x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at University Of Kansas Hospital is $245. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.35x the Medicare baseline. Located in 4000 Cambridge Street, Kansas City, KS.

Cash / Self-Pay

$78

Average discount available for prompt cash payment at this facility.

Insurance Median

$245

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: $78 (43%)

Insurance Median: $245 (135%)

Cash: $78 (43% of Medicare)

Ins. Median: $245 (135% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Larned State Hospital [503200090]	$115	63%
Hchsync Centrus Health Direct [503999916]	$117 - $136	65%
Blue Cross Blue Shield	$150 - $299	83%
Alt Theramatrix [5032000967]	$161	89%
Health Plan Inc [503999941]	$183	101%
Cigna	$194 - $312	107%
Humana	$195	108%
Accarent Health [503999034]	$195	108%
Tricare	$195	108%
Alt Carelon Behavioral Health [503200905]	$195	108%
Aetna	$201 - $264	111%
Coresource [503200089]	$201	111%
Coventry [503200022]	$201 - $264	111%
Meritain Health [503200039]	$201 - $328	111%
Workers Comp [503999901]	$203 - $370	112%
National Assn Letter Carriers [503200019]	$215	119%
Php [503200005]	$234 - $288	129%
Allied National [503999937]	$234	129%
Inter-Americas Insurance [503999032]	$236	130%
Healthlink [503200007]	$236 - $288	130%
Cerner [503200038]	$236	130%
Med-Pay [503200040]	$236	130%
Geha [503200036]	$236	130%
Alt Wppa [5032000964]	$236	130%
Alt Coventry Advantra Mhnet [50311260]	$238	131%
Alt Coventry Mhnet [503200030]	$238	131%
Mh Net [503999024]	$238	131%
First Health [5032000110]	$257	142%
Aha-Healthcare Preferred [503200050]	$257	142%
Alt Meritain Health [503999911]	$264	146%
Ascension Living Hope [503201517]	$273	151%
Consolidated Billing [50311256]	$273	151%
Correct Care Solutions [50311253]	$273	151%
Coeur Plan Services [503301517]	$273	151%
Orscheln Industries [503201608]	$292	161%
Alt Lineco [5032000976]	$299	165%
Empire Plan/Nyship [503200705]	$299	165%
Alt Lucent Health Solutions [503202603]	$299	165%
Century Health Solutions [503200054]	$312	172%
Triwest [503201703]	$312	172%
Quiktrip [5032000412]	$312	172%
Point Comfort Underwriters [503200018]	$312	172%
Wppa [503200056]	$328	181%
Employers Health Network [503999025]	$351	194%
Plan Care America [503999026]	$351	194%
Usa Managed Care [503999030]	$351	194%
Sanford Health Plan [503999027]	$351	194%
Three Rivers Provider Network [503999029]	$351	194%

Consumer Guidance & Cost Commentary

For this psychotherapy session at University of Kansas Hospital, the cash price is $78.00, which is significantly lower than the median negotiated rate of $245.00 paid by insurance plans. While the facility's cash rate is also lower than the state average of $198.00, patients with high-deductible plans or those without insurance may find the cash price more affordable than their specific insurance coverage, which could result in a higher out-of-pocket cost due to deductibles or copays. It is important to note that commercial insurance rates often include administrative overhead and contract markups, making the direct cash price a more transparent benchmark for self-pay patients.

The facility offers a prompt-pay discount for upfront payment, which can further reduce the cost for those choosing to pay out-of-network or self-pay. Before scheduling, patients should explicitly request a self-pay classification and confirm the availability of prompt-pay rates to avoid automatic claims submission that would void any cash discount. Additionally, if a patient receives an itemized bill, they should request a full line-by-line audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies that can be resolved through a formal written dispute.

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $78.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90837.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University Of Kansas Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90837.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.