CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Sanford Vermillion Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $214
Cash Discount Price: $243
vs. Medicare Baseline: 1.18x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Sanford Vermillion Medical Center is $214. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $243. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.18x the Medicare baseline. Located in 20 South Plum Street, Vermillion, SD.

Cash / Self-Pay

$243

Average discount available for prompt cash payment at this facility.

Insurance Median

$214

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: $243 (134%)

Insurance Median: $214 (118%)

Cash: $243 (134% of Medicare)

Ins. Median: $214 (118% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Sanford Health Plan Align	$90	50%
Wellmark Sd	$92	51%
Ucare	$99 - $267	55%
Aetna	$100 - $264	55%
Health Partners	$100 - $228	55%
Medicare (plans)	$100	55%
UnitedHealthcare	$100 - $254	55%
Primewest	$102	56%
Sanford Health Plan	$120 - $161	66%
Security Health Plan	$167	92%
Medica	$251 - $268	138%
Wellmark	$261 - $264	144%
First Choice Health Network	$274	151%
Healthez	$274	151%
Multiplan	$274	151%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $243.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90837.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sanford Vermillion Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90837.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.