Psychotherapy session (60 minutes)
Facility: Wichita County Health Center
Billing Code: 90837 (CPT)
- CPT Billing Code: 90837
- Insurance Median: $183
- Cash Discount Price: $160
- vs. Medicare Baseline: 1.01x 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 |
|---|---|---|
| Medicaid / KanCare | $165 | 91% |
| UnitedHealthcare | $200 | 110% |
Consumer Guidance & Cost Commentary
For a 60-minute psychotherapy session at Wichita County Health Center in Leoti, Kansas, the billed amount is $200.00, which is the same as the Medicare-approved rate of $181.34. While the facility's cash-pay median is $160.00 and the median negotiated rate paid by UnitedHealthcare is $165.00, patients should be aware that cash payments can sometimes result in lower out-of-pocket costs if their insurance negotiated rate exceeds the cash price. Given that this facility is a Critical Access Hospital with government local ownership, it is advisable to contact the billing department directly to confirm if "self-pay" or "prompt-pay" discounts are available before scheduling, as these upfront incentives can significantly reduce the final amount owed.
This specific CPT code does not appear to have a publicly available county or state average for comparison in the current dataset. However, it is important to note that commercial insurance rates often include administrative overhead and contract dynamics that can inflate the baseline price by 20% to 40% compared to direct cash payments. If you receive a bill for this service, you should request a full itemized statement to ensure no errors exist, such as unbundled codes or services not rendered, as over 80% of hospital bills contain inaccuracies. Furthermore, if you are an out-of-network patient, the No Surprises Act may protect you from balance billing for emergency care or non-emergency services provided at an in-network facility, so you should verify your network status and dispute any unexpected charges with your insurer.