CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Methodist Fremont Health

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $339
Cash Discount Price: $218
vs. Medicare Baseline: 1.87x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Methodist Fremont Health is $339. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $218. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.87x the Medicare baseline. Located in 450 East 23Rd St, Fremont, NE.

Cash / Self-Pay

$218

Average discount available for prompt cash payment at this facility.

Insurance Median

$339

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: $218 (120%)

Insurance Median: $339 (187%)

Cash: $218 (120% of Medicare)

Ins. Median: $339 (187% 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
Elevate By Medica	$192 - $266	106%
Aetna	$194 - $566	107%
Blue Cross Blue Shield	$194 - $528	107%
Humana	$194	107%
Medica	$194 - $203	107%
Medicare (plans)	$194 - $226	107%
UnitedHealthcare	$194 - $532	107%
Alliance Nhn	$226 - $343	125%
Medica Choice	$226 - $519	125%
Midlands Choice	$260 - $555	143%
Ne Furniture Mart	$271 - $490	149%
Elite Choice	$311 - $403	172%
Ambetter / Centene	$333 - $402	184%
Multiplan	$406 - $531	224%

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 $218.
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 Methodist Fremont Health 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.