Psychotherapy session (60 minutes)
Facility: Via Christi Hospital Wichita St Teresa, Inc
Billing Code: 90837 (CPT)
- CPT Billing Code: 90837
- Insurance Median: $150
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.83x 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 |
|---|---|---|
| Vc Hope | $149 | 82% |
| Medicare (plans) | $149 - $152 | 82% |
| Va | $149 | 82% |
| Humana | $149 | 82% |
| Via Christi Research | $149 | 82% |
| Saint Lukes Health Systems | $149 | 82% |
| Blue Cross Blue Shield | $152 | 84% |
| UnitedHealthcare | $152 - $416 | 84% |
| Corizon | $186 | 103% |
| Smarthealth | $208 | 115% |
| Medicaid / KanCare | $253 | 140% |
| Aetna | $384 | 212% |
Consumer Guidance & Cost Commentary
For CPT code 90837, representing a 60-minute psychotherapy session at Via Christi Hospital Wichita St Teresa, Inc, the facility's negotiated rates range from $149 to $416 depending on the payer. The lowest negotiated amount is $149, which aligns with the rates for several major payers including Medicare, VA, and Humana. However, UnitedHealthcare has a significantly higher range, from $152 to $416, while Aetna's negotiated rate is $384. It is important to note that cash prices are not listed for this service, but patients should be aware that commercial negotiated rates often include administrative overhead and can exceed the true cost of care. In this case, the median negotiated rate of $150 is slightly higher than the Medicare benchmark of $181.34, which serves as a scientifically validated baseline for the "true cost" of this procedure.
Patients should carefully review their specific insurance plan's allowed amount, as some payers like UnitedHealthcare may have negotiated rates that are substantially higher than the facility's cash price if available. Even though this is an in-network facility, the No Surprises Act protects patients from balance billing for out-of-network services, such as emergency care or certain ancillary tests, at this acute care hospital. To minimize costs, patients are encouraged to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can offer immediate fee reductions for upfront payment. Additionally, if a detailed itemized bill is received, patients should request a line-by-line audit to identify any unbundled codes or services not rendered, as these errors can significantly inflate the final charge