Psychotherapy session (60 minutes)
Facility: Overland Park Reg Med Ctr
Billing Code: 90837 (CPT)
- CPT Billing Code: 90837
- Insurance Median: $145
- Cash Discount Price: $395
- vs. Medicare Baseline: 0.80x 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 | $51 - $170 | 28% |
| Ambetter / Centene | $74 | 41% |
| Nhc Advantage | $75 | 41% |
| Oscar | $75 | 41% |
| Healthyblue | $79 | 44% |
| Wppa Providrs Care Network | $79 | 44% |
| Cigna | $98 - $146 | 54% |
| United | $99 - $178 | 55% |
| Aetna | $119 - $202 | 66% |
| Universal Healthcare | $138 | 76% |
| Home State Health Plan | $144 | 79% |
| American Therapy Services | $159 - $555 | 88% |
| Coventry | $159 | 88% |
| Coventry Kc Mo | $162 | 89% |
| College Park Family Care Center | $170 | 94% |
| Oha Network | $198 | 109% |
| Multiplan | $210 - $316 | 116% |
| Corvel Corporation | $257 | 142% |
| Cco, Inc. | $297 | 164% |
| Triwest Health Alliance | $297 | 164% |
| Focus Healthcare Mgmt, Inc | $297 | 164% |
Consumer Guidance & Cost Commentary
For this psychotherapy session at Overland Park Reg Med Ctr, the cash price is $395, which matches the facility's median negotiated rate. While the facility is in-network for 21 payers, the negotiated rates vary significantly, ranging from $51 for Blue Cross Blue Shield plans to $555 for American Therapy Services. It is important to note that cash-paying can sometimes be more cost-effective than using insurance, particularly for patients with high-deductible plans where the insurer's allowed amount might exceed the cash price. Additionally, patients should verify if "self-pay" or "prompt-pay" discounts are available before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50% by bypassing administrative claim processing costs.
When evaluating the cost of this service, it is essential to compare rates against the Medicare benchmark rather than the hospital's gross charges. The Medicare amount for this procedure is $181.34, and the facility's cash rate of $395 represents a markup of 218% above this federal baseline. Although the data does not provide specific state or county average comparisons for this code, the Medicare rate serves as the scientifically validated cost baseline for assessing pricing fairness. Consumers should be aware that balance billing is generally prohibited for out-of-network services at in-network facilities under the No Surprises Act, but it is crucial to request an itemized bill to ensure no unbundled charges or services not rendered are included in the final invoice.