CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: St Francis Memorial Hospital

Billing Code: 90837 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$156

about 0.9× the $181 Medicare rate · typically $137–$375

modeled estimate · not a bill or quote

What this hospital charges insurers

$150

About the fair price

about $6 under the fair price · 0.8× Medicare

Medicare pays $181 Fair price $156 This hospital $150 Cash price $452 Hospital's list price $452

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

A typical price — 5 charge more and 3 charge less, among the 9 NE hospitals compared.

Cheapest $127 Priciest $173

Black dot = this hospital, among the 9 NE hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Psychotherapy session (60 minutes) is about $156 (about 0.9× the $181 Medicare rate). St Francis Memorial Hospital charges insurers about $150, or about $452 in cash — about the fair price. Located in West Point, NE.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$434	239%
Blue Cross Blue Shieldmajor	$147	81%
Aetnamajor	$154 - $434	85%
Humanamajor	$147	81%
Medica	$147	81%
Molina	$154	85%
+ 2 smaller / regional plans	$150 - $154

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 452), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90837.

Insurance Before you use insurance

Call your insurance company to confirm St Francis Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 90837.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at St Francis Memorial Hospital

Compare: Psychotherapy session (60 minutes) at other NE hospitals

Insurance negotiated median for the same procedure, sorted lowest first.