CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Arbor Health Morton Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $137
Cash Discount Price: $144
vs. Medicare Baseline: 0.76x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Arbor Health Morton Hospital is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $144. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.76x the Medicare baseline. Located in 521 Adams Street, Morton, WA.

Cash / Self-Pay

$144

Average discount available for prompt cash payment at this facility.

Insurance Median

$137

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: $144 (79%)

Insurance Median: $137 (76%)

Cash: $144 (79% of Medicare)

Ins. Median: $137 (76% 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
Amerigroup-All Other Plans	$98	54%
Comm Health Healthy Options	$98	54%
Kaiser Mcaid	$98	54%
Molina Mcaid	$98	54%
UnitedHealthcare	$98 - $186	54%
Comm Health Basic Sub - All Other Plans	$117	65%
Aetna	$137 - $143	76%
Amerigroup Mcr Adv	$137	76%
Comm Health Mcr Adv	$137	76%
Healthnet Mcr Adv - All Plans	$137	76%
Humana	$137	76%
Mcr Railroad Mcr Adv - All Plans	$137	76%
Medicare (plans)	$137	76%
Premera Hmo Mcr Adv	$137	76%
Rural Health Mcare - All Plans	$137	76%
Molina Marketplace-All Other Plans	$139	77%
Regence Blue Shield Mcr Adv	$139	77%
Molina Mcr Adv	$144	79%
Wellcare Mcr Adv - All Plans	$144	79%
Regence Blue Shield Ump-All Other Plans	$162	89%
First Choice-All Plans	$168	93%
Kaiser Comm-All Other Plans	$169	93%
Comm Health Pebb	$176	97%
Premera First-All Other Plans	$209	115%
Cigna	$216	119%

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 $144.
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 Arbor Health Morton Hospital 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.