CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: M Health Fairview Ridges Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $435
Cash Discount Price: $308
vs. Medicare Baseline: 2.40x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at M Health Fairview Ridges Hospital is $435. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $308. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 2.40x the Medicare baseline. Located in 201 East Nicollet Boulevard, Burnsville, MN.

Cash / Self-Pay

$308

Average discount available for prompt cash payment at this facility.

Insurance Median

$435

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)

Cash / Self-Pay: $308 (170%)

Insurance Median: $435 (240%)

Cash: $308 (170% of Medicare)

Ins. Median: $435 (240% of 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 240% of the Medicare baseline (a markup of 140%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

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	$102 - $455	56%
Medica	$110 - $606	61%
Health Partners	$118 - $400	65%
Itasca Medical Care	$118 - $156	65%
Primewest	$118 - $156	65%
South Country Health Alliance	$118 - $156	65%
Ucare	$120 - $364	66%
Sanford Health Plan	$131 - $466	72%
Security Health Plan	$131 - $593	72%
UnitedHealthcare	$131 - $432	72%
Wellcare	$131 - $156	72%
Hennepin Health	$133 - $162	73%
America'S Ppo	$260 - $570	143%
First Health	$409 - $649	226%
Multiplan	$424 - $672	234%
Private Healthcare Systems	$424 - $672	234%
Wisconsin Physician Services	$449 - $712	248%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $308.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90837.

Insurance In-Network Protection Plan

Contact your insurance company to confirm M Health Fairview Ridges Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90837.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.