CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Geisinger Wyoming Valley Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $234
  • Cash Discount Price: $328
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Geisinger Wyoming Valley Medical Center is $234. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $328. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.29x the Medicare baseline. Located in 1000 East Mountain Boulevard, Wilkes Barre, PA.
Cash / Self-Pay
$328

Average discount available for prompt cash payment at this facility.

Insurance Median
$234

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: $328 (181%)
Insurance Median: $234 (129%)
Cash: $328 (181% of Medicare)
Ins. Median: $234 (129% 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
Medicaid / KanCare $52 29%
Geisinger Family Plan $54 30%
Amerihealth $60 33%
Upmc For You $61 34%
Health Partners $62 34%
Upmc Chip $65 36%
Blue Cross Blue Shield $86 - $160 47%
Geisinger Health Plan $159 - $487 88%
Humana $159 88%
Life Geisinger $159 88%
Medicare (plans) $159 - $179 88%
Prison Health Services $159 88%
Cigna $229 - $240 126%
Aetna $246 - $353 136%
Christian Healthcare Ministries $264 146%
UnitedHealthcare $270 149%
Wyoming Seminary $370 204%
Intergroup Services $450 248%
Multiplan $450 248%
Ambetter / Centene $524 289%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 East Mountain Boulevard, Wilkes Barre, PA 18711
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals