CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Howard County Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $237
  • Cash Discount Price: $267
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Howard County Medical Center is $237. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $267. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.31x the Medicare baseline. Located in P O Box 406, 1113 Sherman St, St Paul, NE.
Cash / Self-Pay
$267

Average discount available for prompt cash payment at this facility.

Insurance Median
$237

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: $267 (147%)
Insurance Median: $237 (131%)
Cash: $267 (147% of Medicare)
Ins. Median: $237 (131% 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.

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
Humana $112 - $132 62%
Medica Standard Premier $128 71%
Aetna $132 - $254 73%
Blue Cross Blue Shield $132 - $690 73%
Great Plains $132 - $152 73%
Medica Chi $132 - $152 73%
Tricare $132 - $200 73%
UnitedHealthcare $132 - $468 73%
Medica Elevate $134 - $250 74%
Molina Healthcare $134 - $138 74%
Nebraska Total Care $134 74%
Nebraska Total Care - Wellcare $136 75%
Midland'S Choice $209 115%
Oscar Health $230 127%
Medica Chi Aco $243 - $263 134%
Medica Choice National $243 - $281 134%
Medica Ifb Aco $255 - $256 141%
Medica Ifb Open Access $256 - $325 141%
Ambetter / Centene $263 145%
Beshp $263 145%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: P O Box 406, 1113 Sherman St, St Paul, NE 68873
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals