CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Livingston Healthcare

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $159
Cash Discount Price: $187
vs. Medicare Baseline: 0.88x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Livingston Healthcare is $159. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $187. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.88x the Medicare baseline. Located in 320 Alpenglow Lane, Livingston, MT.

Cash / Self-Pay

$187

Average discount available for prompt cash payment at this facility.

Insurance Median

$159

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: $187 (103%)

Insurance Median: $159 (88%)

Cash: $187 (103% of Medicare)

Ins. Median: $159 (88% 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.

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	$61 - $241	34%
UnitedHealthcare	$61 - $229	34%
Humana	$62 - $156	34%
Pacificsource Mcr	$69 - $156	38%
Pacificsource - All Other Plans	$107 - $224	59%
Allegiance - All Plans	$109 - $229	60%
First Choice/Hin - All Plans	$109 - $229	60%
Interwest Ppo - All Other Plans	$109 - $229	60%
Coventry - All Plans	$112 - $234	62%
Interwest Trad	$113 - $236	62%

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 $187.
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 Livingston Healthcare 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.