CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Sanford Usd Medical Center

Billing Code: 90837 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$166
about 0.9× the $181 Medicare rate · typically $154–$170
modeled estimate · not a bill or quote
What this hospital charges insurers
$165
About the fair price
about $1 under the fair price · 0.9× Medicare
Medicare pays $181 Fair price $166 This hospital $165 Cash price $290 Hospital's list price $363

How we calculate the fair BaseRate →

How this hospital compares to other SD hospitals

A typical price — 2 charge more and 3 charge less, among the 7 SD hospitals compared.

Cheapest $153 Priciest $273

Black dot = this hospital, among the 7 SD hospitals with a price for this procedure. Full list below.

A fair price for a Psychotherapy session (60 minutes) is about $166 (about 0.9× the $181 Medicare rate). Sanford Usd Medical Center charges insurers about $165, or about $290 in cash — about the fair price. Located in Sioux Falls, SD.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $165 - $320 91%
Blue Cross Blue Shieldmajor $71 - $201 39%
Aetnamajor $165 - $278 91%
Health Net $327 180%
HealthPartners $122 - $165 67%
Medica $245 - $262 135%
Sanford Health Plan $133 - $153 73%
Security Health Plan $200 110%
UCare $164 - $255 90%
+ 2 smaller / regional plans $167 - $327
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1305 W 18Th St Post Office Box 5039, Sioux Falls, SD 57117
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals