Psychotherapy session (60 minutes)
Facility: Menorah Medical Center
Billing Code: 90837 (CPT)
- CPT Billing Code: 90837
- Insurance Median: $159
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.88x 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 |
|---|---|---|
| United | $137 | 76% |
| Home State Health Plan | $144 | 79% |
| American Therapy Services | $159 - $555 | 88% |
Consumer Guidance & Cost Commentary
For this psychotherapy session at Menorah Medical Center in Overland Park, KS, the negotiated rates range from $137 to $555 depending on your specific insurance plan, with a median negotiated amount of $159. It is important to note that cash-pay rates are not listed for this service, meaning patients without insurance coverage may not be able to utilize the lower cash price often available for other procedures. While commercial insurance contracts can sometimes result in higher out-of-pocket costs than cash prices, the absence of a cash rate here suggests that self-pay discounts may not apply or are not publicly disclosed. Patients should verify their specific plan's allowed amount with the facility before scheduling to ensure they are aware of their potential financial responsibility.
The Medicare benchmark for this service is $181.34, which serves as a reliable baseline for evaluating pricing fairness. Commercial negotiated rates for this procedure average between 200% and 300% of the Medicare amount, though the specific rates for this facility fall within the lower end of the spectrum for in-network coverage. Since this is an acute care hospital in Kansas, patients should be aware that while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, unexpected charges can still occur if ancillary services like laboratory tests are performed by out-of-network staff. If you receive a bill that seems excessive, request a full itemized audit to identify any unbundled codes or services not rendered, and do not sign away your rights to dispute out-of-network charges without first reviewing the terms.