CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Cascade Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $235
Cash Discount Price: $325
vs. Medicare Baseline: 1.30x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Cascade Medical Center is $235. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $325. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.30x the Medicare baseline. Located in 817 Commercial Street, Leavenworth, WA.

Cash / Self-Pay

$325

Average discount available for prompt cash payment at this facility.

Insurance Median

$235

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: $325 (179%)

Insurance Median: $235 (130%)

Cash: $325 (179% of Medicare)

Ins. Median: $235 (130% 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
Tricare	$161	89%
First Choice Health Network	$180	99%
Pacificsource Health Plans	$180	99%
Medicaid / KanCare	$217	120%
Community Health Plan Of Wa Mcd Rep	$226	125%
Coordinated Care Of Wa Mcd Rep	$226	125%
Molina Healthcare Of Washington Mcd Rep	$226	125%
Asuris Northwest Health	$227 - $366	125%
Aetna	$235 - $366	130%
Blue Cross Blue Shield	$235 - $309	130%
Humana	$235	130%
Medicare (plans)	$235	130%
Molina Healthcare Of Washington Mcr Adv	$237	131%
Wellcare Health Plan Inc Mcr Adv	$254	140%
Ambetter / Centene	$255	141%
Community Health Plan Of Wa	$264	146%
Cigna	$340	187%
Washington Department Of Labor And Industry	$363	200%

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 $325.
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 Cascade 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.