CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Sanford Medical Center Fargo

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $206
Cash Discount Price: $300
vs. Medicare Baseline: 1.14x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Sanford Medical Center Fargo is $206. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $300. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.14x the Medicare baseline. Located in 801 Broadway North, Fargo, ND.

Cash / Self-Pay

$300

Average discount available for prompt cash payment at this facility.

Insurance Median

$206

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: $300 (165%)

Insurance Median: $206 (114%)

Cash: $300 (165% of Medicare)

Ins. Median: $206 (114% 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	$116 - $282	64%
Sanford Health Plan	$133	73%
Sanford Health Plan Align	$153	84%
Health Partners	$154 - $165	85%
Ucare	$164 - $264	90%
Aetna	$165 - $321	91%
Medicare (plans)	$165	91%
UnitedHealthcare	$165 - $327	91%
Primewest	$167 - $169	92%
Medica	$169 - $180	93%
Security Health Plan	$206	114%
Cigna	$338	186%
First Choice Health Network	$338	186%
Healthez	$338	186%
Multiplan	$338	186%

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 $300.
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 Sanford Medical Center Fargo 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.