Psychotherapy session (60 minutes)
Facility: Bob Wilson Memorial Hospital
Billing Code: 90837 (CPT)
- CPT Billing Code: 90837
- Insurance Median: $202
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.11x 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 | $202 | 111% |
Consumer Guidance & Cost Commentary
For this psychotherapy session at Bob Wilson Memorial Hospital in Ulysses, Kansas, the negotiated rate with Blue Cross Blue Shield is $202.00, which is 1.1 times the Medicare benchmark of $181.34. While the facility is a Voluntary non-profit - Church Critical Access Hospital, there is no cash or median paid data available for this specific service code. Patients should note that cash-pay options can sometimes be more affordable than insurance negotiated rates if the patient's deductible has not yet been met, as commercial contracts often include administrative overhead that inflates the final price. It is advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can reduce the total amount owed by offering immediate liquidity incentives.
This service is categorized under CPT code 90837, representing a 60-minute psychotherapy session. The data reflects a single payer plan with a narrow range of $202, and no facility rating or ownership details beyond the non-profit status are provided. Consumers should be aware that balance billing is generally prohibited for out-of-network services at in-network facilities under the No Surprises Act, though unexpected ancillary charges from out-of-network providers like emergency physicians or labs could still occur. If a patient receives an itemized bill, they should request a full line-by-line audit to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors that can be corrected through formal written disputes rather than verbal agreements.