CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Lancaster General Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $179
  • Cash Discount Price: $184
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Lancaster General Hospital is $179. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $184. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.99x the Medicare baseline. Located in 555 North Duke Street, Lancaster, PA.
Cash / Self-Pay
$184

Average discount available for prompt cash payment at this facility.

Insurance Median
$179

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: $184 (101%)
Insurance Median: $179 (99%)
Cash: $184 (101% of Medicare)
Ins. Median: $179 (99% 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
Hospice And Community Care $27 - $45 15%
Upmc For You $35 - $60 19%
Old Order Group $38 - $76 21%
Lg Coresource/Lg Eliance $40 - $68 22%
Lancashire Hall $42 - $238 23%
Nursing Home Op Services $42 - $71 23%
Blue Cross Blue Shield $46 - $202 25%
Affilia Home Health $56 - $238 31%
Medicaid / KanCare $56 - $352 31%
UnitedHealthcare $57 - $180 31%
Masonic Homes $59 - $238 33%
Highmark $68 - $238 37%
Gateway $70 - $119 39%
Tricare $84 - $143 46%
Eliance Health Solutions $90 - $152 50%
Highmark Commercial Preferred $94 - $238 52%
Aetna $95 - $182 52%
Cigna $106 - $199 58%
Ehp $115 - $195 63%
Upmc Commercial $115 - $202 63%
Devon $119 - $202 66%
Geisinger Commercial $119 - $202 66%
Intergroup Services $119 - $202 66%
Preferred Healthcare $119 - $202 66%
Medi-Share Christian Care $133 - $226 73%
Commercial Generic $140 - $238 77%
Highmark Commercial Non-Preferred $140 - $240 77%
Magellan $140 - $238 77%
Pa Health And Wellness Mcr $140 - $189 77%
United Behavioral Health $140 - $238 77%
Value Options $140 - $238 77%
Workers Compensation $140 - $238 77%
Albright Life $180 99%
Coatesville Va $180 99%
Hospice Generic $180 99%
Lebanon Veterans Hospital $180 99%
Medicare (plans) $180 - $199 99%
Amerihealth Caritas $184 101%
Health Partners Mcr Advantage $186 103%
Devoted Health $189 104%
Elap Employees $256 141%
Oscar Health Plan $352 194%
Claim Watcher Plus $541 298%
Claim Watcher $595 328%
Elap Other Groups $656 362%
Gift Of Life Donor Program $13,500 7445%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 555 North Duke Street, Lancaster, PA 17602
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals