CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Intermountain Health Spanish Fork Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $250
  • Cash Discount Price: $297
  • vs. Medicare Baseline: 1.38x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Intermountain Health Spanish Fork Hospital is $250. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $297. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.38x the Medicare baseline. Located in 765 East Market Place Drive, Spanish Fork, UT.
Cash / Self-Pay
$297

Average discount available for prompt cash payment at this facility.

Insurance Median
$250

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: $297 (164%)
Insurance Median: $250 (138%)
Cash: $297 (164% of Medicare)
Ins. Median: $250 (138% 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
Donor Connect $26 - $107 14%
Selecthealth $105 - $427 58%
Health Plan Of Nevada $119 - $179 66%
Aetna $128 - $337 71%
American Health $128 - $187 71%
Blue Cross Blue Shield $128 - $301 71%
Health Partners Of Nevada $128 - $179 71%
Healthy U $128 - $179 71%
Humana $128 - $188 71%
Molina $128 - $197 71%
UnitedHealthcare $128 - $337 71%
Triwest $154 85%
Intermountain Caregiver Plan $168 - $407 93%
Emi $214 118%
Deseret Mutual $228 126%
Cigna $250 - $337 138%
Awh Connected $254 - $258 140%
Emi Health $275 152%
Pehp $276 - $353 152%
Byu Risk Management $278 - $290 153%
Corporation Of The President $278 - $290 153%
Wcf Insurance $278 - $290 153%
Byu Athletics $286 158%
Campbell Scientific $286 158%
Corvel Corporation $286 158%
Franklin County $286 158%
Ifit $286 158%
Juniper Systems $286 158%
Lw Miller $286 158%
Tanner Llc $286 158%
Utah Tech $286 158%
Injury Care Of Nevada $297 164%
Managed Care Admin $309 170%
Prodegi Corp Benefit $325 179%
Uofu $325 179%
Springtide $329 181%
Global Excel $337 186%
Medcare International $337 186%
Motivhealth $337 186%
Wise Network $337 186%
Hygeia Corporation $357 197%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 765 East Market Place Drive, Spanish Fork, UT 84660
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals