Psychotherapy session (60 minutes)
Facility: Labette Health
Billing Code: 90837 (CPT)
- CPT Billing Code: 90837
- Insurance Median: $149
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.82x 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 |
|---|---|---|
| Wellcare | $149 | 82% |
| Blue Cross Blue Shield | $149 - $151 | 82% |
| Humana | $149 | 82% |
| UnitedHealthcare | $149 | 82% |
| Medicaid / KanCare | $149 | 82% |
| Kansas Superior Select | $153 | 84% |
| Ambetter / Centene | $171 | 94% |
| Montgomery County | $272 | 150% |
Consumer Guidance & Cost Commentary
For CPT code 90837, a psychotherapy session lasting 60 minutes, Labette Health in Parsons, KS, has a median negotiated rate of $149.00 across eight payers, with most plans paying between $149 and $153. This rate is significantly lower than the Medicare benchmark of $181.34, reflecting the facility's status as a government-owned local entity. While commercial rates generally average 200% to 300% of Medicare, this facility's negotiated amounts remain well below that typical markup range. Patients should note that cash-pay options are not listed for this service, but it is always advisable to ask the billing department directly about self-pay or prompt-pay discounts, which can sometimes reduce costs even when insurance is involved.
When evaluating costs, it is important to compare these rates against the broader healthcare landscape rather than the hospital's inflated chargemaster list. Although specific county or state average data for this exact code was not provided in the report, the facility's government ownership often results in pricing structures that differ from private operators. To ensure you are receiving fair value, request an itemized bill that breaks down the exact CPT codes and unit costs, as summary bills can obscure individual charges. If you have a high-deductible plan, verify whether your deductible has been met before scheduling, as you may be responsible for the full negotiated amount if it exceeds your coverage limits. Always confirm with the hospital whether any ancillary services, such as lab work, are billed separately to avoid unexpected balance billing.