Psychotherapy session (60 minutes)
Facility: Wesley Medical Center
Billing Code: 90837 (CPT)
- CPT Billing Code: 90837
- Insurance Median: $127
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.70x 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 |
|---|---|---|
| Blue Cross Blue Shield | $127 | 70% |
Consumer Guidance & Cost Commentary
For this psychotherapy session at Wesley Medical Center in Wichita, KS, the negotiated rate is $127.00, which matches the lowest and highest reported amounts for this service. While the facility is in-network with Blue Cross Blue Shield, the cash price is not listed in the current data. In many cases, paying cash directly can be more affordable than using insurance if your plan has a high deductible, as the negotiated rate often exceeds the cash price. We recommend contacting the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final amount owed by 20% to 50% if you settle the bill upfront.
This service is benchmarked against Medicare, which sets a fixed reimbursement rate of $181.34. The negotiated rate of $127.00 is 70% of the Medicare amount, indicating a rate that is lower than the federal baseline. It is important to note that commercial negotiated rates are often higher than cash prices due to administrative costs and contract structures, so comparing the $127.00 rate to the Medicare benchmark provides a clearer picture of the facility's pricing than comparing it to the hospital's full list price. Always verify your specific plan's deductible status before scheduling, as you may be responsible for the full negotiated amount if your coverage has not yet been met.