Psychotherapy session (60 minutes)
Facility: Stanton County Hospital
Billing Code: 90837 (CPT)
- CPT Billing Code: 90837
- Insurance Median: $207
- Cash Discount Price: $206
- vs. Medicare Baseline: 1.14x 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 | $144 - $230 | 79% |
| Healthy Blue Mcaid | $207 | 114% |
| Healthy Blue Mcr Adv - All Other Plans | $238 | 131% |
Consumer Guidance & Cost Commentary
For this psychotherapy session at Stanton County Hospital, the cash price is $206.00, which matches the facility's negotiated rate and the state average. While the facility is a Critical Access Hospital in Johnson, KS, and is government-owned, patients should be aware that cash payments can sometimes be more cost-effective than using insurance. Because commercial negotiated rates often include administrative overhead and may exceed the cash price, individuals with high-deductible plans might save money by paying self-pay directly. It is important to verify "self-pay" or "prompt-pay" discounts with the hospital before scheduling, as these upfront incentives can bypass the higher costs associated with insurance billing cycles.
The Medicare benchmark for this service is $181.34, which serves as a reliable baseline for evaluating pricing fairness. Although the data does not provide specific county or state average comparisons for this exact code, the fact that the cash price aligns with the negotiated rate suggests a transparent pricing structure without significant markup. Patients should avoid accepting summary bills as final invoices, as hospitals may obscure individual charges; instead, requesting a detailed, itemized bill is the most effective way to identify errors or unbundled codes. If a balance bill arises from out-of-network ancillary services, consumers are protected by the No Surprises Act and should dispute the bill with their insurer rather than paying immediately out of fear of credit damage.