Psychotherapy session (60 minutes)
Facility: Ashland Health Center
Billing Code: 90837 (CPT)
- CPT Billing Code: 90837
- Insurance Median: $212
- Cash Discount Price: $170
- vs. Medicare Baseline: 1.17x 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 | $71 | 39% |
| Compalliance-All Plans | $170 | 94% |
| Health Partners Of Kansas-All Plans | $180 | 99% |
| Multiplan-All Plans | $208 | 115% |
| Aetna | $212 | 117% |
| Health Choice-All Plans | $212 | 117% |
| Medicare (plans) | $212 | 117% |
| Healthy Blue Mcr Adv - All Other Plans | $212 | 117% |
| UnitedHealthcare | $212 | 117% |
| Medica Mcare - All Plans | $212 | 117% |
| Medicaid / KanCare | $212 | 117% |
| Providers Care (Wppa)-All Plans | $318 | 175% |
Consumer Guidance & Cost Commentary
For a psychotherapy session lasting 60 minutes at Ashland Health Center in Ashland, KS, the facility's gross charge is $212.00. While the median negotiated rate across 12 payers is also $212.00, patients with high-deductible plans may find the cash price of $170.00 more advantageous, as it is lower than the insurer's allowed amount. It is important to note that Medicare sets a benchmark of $181.34 for this service, which serves as a cost baseline; commercial rates often exceed this figure due to administrative overhead and contract dynamics. Although the data does not provide specific county or state average comparisons for this procedure, the cash rate remains a significant factor for those seeking to minimize out-of-pocket costs before meeting their insurance deductible.
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 labs or emergency physicians are out-of-network. To avoid these surprises, consumers should request a full itemized bill before paying, ensuring no unbundled codes or services not rendered are included. Additionally, if you choose to pay directly, ask the facility about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if settled upfront. If you receive a summary bill, insist on a detailed line-by-line statement to identify any errors, as over 80% of hospital bills contain mistakes that can be corrected through a formal written audit dispute.