CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Crossing Rivers Health Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $134
Cash Discount Price: $223
vs. Medicare Baseline: 0.74x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Crossing Rivers Health Medical Center is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $223. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.74x the Medicare baseline. Located in 37868 Us Hwy 18, Prairie Du Chien, WI.

Cash / Self-Pay

$223

Average discount available for prompt cash payment at this facility.

Insurance Median

$134

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: $223 (123%)

Insurance Median: $134 (74%)

Cash: $223 (123% of Medicare)

Ins. Median: $134 (74% 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 Mcr Adv	$37 - $134	20%
Blue Cross Blue Shield	$37 - $289	20%
Security Hlth Mcr Adv	$37 - $134	20%
UnitedHealthcare	$37 - $134	20%
Humana	$38 - $134	21%
Quartz - All Plans	$71 - $247	39%
Dean Health Plan - All Plans	$85 - $339	47%
Health Trad Hp - All Plans	$85 - $343	47%
Medica Hp Solutions	$85	47%
Security Hlth Comm - All Other Plans	$85 - $134	47%
Wea Provider Ntwrk - All Plans	$85	47%
Cigna	$86 - $346	47%
First Health - All Plans	$86 - $346	47%
Geha - All Plans	$86 - $346	47%
Group Health Co-Op - All Plans	$86 - $286	47%
Health Partners - All Plans	$86 - $346	47%
Medical Associates Hp - All Plans	$86 - $346	47%
Preferred Health Choice - All Plans	$86	47%
Wps - All Plans	$86 - $229	47%
Amerigroup Mcaid-All Other Plans	$292 - $357	161%
Iowa Total Care Mcaid-All Plans	$292 - $357	161%

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 $223.
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 Crossing Rivers Health 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.