Psychotherapy session (60 minutes)
Facility: Grisell Memorial Hospital
Billing Code: 90837 (CPT)
- CPT Billing Code: 90837
- Insurance Median: $268
- Cash Discount Price: $292
- vs. Medicare Baseline: 1.48x 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 | $142 | 78% |
| UnitedHealthcare | $229 - $308 | 126% |
| Humana | $308 | 170% |
| Medicaid / KanCare | $308 | 170% |
Consumer Guidance & Cost Commentary
For a 60-minute psychotherapy session at Grisell Memorial Hospital in Ransom, KS, the facility's cash median price is $292.00, which is lower than the negotiated rates paid by most major payers. While UnitedHealthcare members can expect a negotiated rate between $229 and $308, and Blue Cross Blue Shield members face a fixed rate of $142, patients with high-deductible plans might find the cash price more affordable if their insurance allowed amount exceeds $292. It is important to note that Medicaid/KanCare members are billed the full $308.00, and Humana members also face the $308.00 rate. To potentially lower costs, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can significantly reduce the final bill compared to standard insurance processing.
This service is benchmarked against federal standards, where the Medicare amount for this code is $181.34. The facility's cash rate of $292.00 represents a markup relative to this federal baseline, illustrating how commercial pricing structures often differ from government-set rates. Since the data provided does not include specific Kansas or Ransom county average comparisons for this CPT code, patients should rely on the Medicare benchmark as a reliable indicator of the true cost of care delivery. Regardless of the specific payer, consumers are advised to request a full itemized bill to verify that no unbundled codes or services not rendered have inflated the total, ensuring they are only paying for the actual psychotherapy session provided.