Psychotherapy session (60 minutes)
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 90837 (CPT)
- CPT Billing Code: 90837
- Insurance Median: $114
- Cash Discount Price: $172
- vs. Medicare Baseline: 0.63x 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 |
|---|---|---|
| Direct Benefit-All Plans | $29 - $63 | 16% |
| UnitedHealthcare | $35 - $263 | 19% |
| Berkley Net-All Plans | $48 - $105 | 26% |
| Trustmark Health Benefits-All Plans | $53 - $116 | 29% |
| Aetna | $53 - $179 | 29% |
| Meritain Health-All Plans | $54 - $118 | 30% |
| Ambetter / Centene | $58 - $126 | 32% |
| Axa Equitable - All Plans | $66 - $145 | 36% |
| Pinnacol-All Plans | $67 - $147 | 37% |
| Medi-Share-All Plans | $68 - $150 | 37% |
| Presbyterian-All Plans | $73 - $160 | 40% |
| Kasb Work Comp - All Plans | $77 - $168 | 42% |
| The Kempton Group Admin-All Plans | $83 - $181 | 46% |
| Auxiant - All Plans | $84 - $184 | 46% |
| Gpha(Wppa)-All Other Plans | $84 - $184 | 46% |
| Wppa- All Plans | $85 - $187 | 47% |
| Sisco-All Plans | $86 - $189 | 47% |
| Providers Care Network- All Plans | $86 - $189 | 47% |
| Emc-All Plans | $86 - $189 | 47% |
| Gpha Employee Benefit Plan | $88 - $192 | 49% |
| Regional Care(Wppa)-All Plans | $90 - $197 | 50% |
| Employee Benefit-All Plans | $90 - $197 | 50% |
| First Health -All Plans | $91 - $200 | 50% |
| Triangle-All Plans | $91 - $200 | 50% |
| One Call Physician-All Plans | $92 - $203 | 51% |
| Blue Cross Blue Shield | $95 - $208 | 52% |
| Christian Hospital Aid - All Plans | $96 - $210 | 53% |
| Tricare | $96 - $210 | 53% |
| Humana | $103 - $226 | 57% |
| Cigna | $106 - $231 | 58% |
| Luminare Health- All Plans | $106 - $231 | 58% |
| Deseret Mutual(Uhis)-All Plans | $108 - $237 | 60% |
| Coresource-All Plans | $108 - $237 | 60% |
| Vaccn-All Plans | $110 - $242 | 61% |
| Wps Vapc-All Plans | $114 - $250 | 63% |
| Hma Llc-All Plans | $114 - $250 | 63% |
| Reserve National-All Plans | $114 - $250 | 63% |
| Medicaid / KanCare | $120 - $263 | 66% |
Consumer Guidance & Cost Commentary
For this psychotherapy session (60 minutes), the facility's cash price of $172.00 is lower than the gross charge of $192.00 but higher than the median negotiated rate of $114.00 paid by insurance plans. While the cash price exceeds the facility's median negotiated rate, it remains below the gross chargemaster, which can be advantageous for patients with high-deductible plans who may not have met their coverage threshold. The facility, a Critical Access Hospital in Satanta, KS, offers a self-pay or prompt-pay discount for upfront payment, which can further reduce the final amount owed compared to the standard cash price.
Insurance contracts vary significantly across payers, with negotiated rates ranging from $29 to $263 depending on the plan. The lowest negotiated rate of $29 is found with Direct Benefit-All Plans, while the highest is $263 with UnitedHealthcare. Patients should verify their specific plan's allowed amount before scheduling, as in-network rates are not uniform across all insurers. Additionally, the Medicare benchmark for this service is $181.34, which serves as a reliable baseline for evaluating commercial pricing; commercial negotiated rates often exceed this federal rate due to administrative costs and contract structures.