Psychotherapy session (60 minutes)
Facility: Salina Regional Health Center
Billing Code: 90837 (CPT)
- CPT Billing Code: 90837
- Insurance Median: $360
- Cash Discount Price: $298
- vs. Medicare Baseline: 1.99x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Preferred Phsic | $144 - $360 | 79% |
| Blue Cross Blue Shield | $158 - $167 | 87% |
| Preferred Healthcare - All Other Plans | $194 - $486 | 107% |
| Multiplan (Mpi)-All Plans | $215 - $541 | 119% |
| Providers Care (Wppa)-All Plans | $215 - $541 | 119% |
| Cigna | $215 - $541 | 119% |
| Aetna | $215 - $541 | 119% |
Consumer Guidance & Cost Commentary
For this psychotherapy session at Salina Regional Health Center in Salina, KS, the facility's negotiated rates range from $144 to $541 across seven insurance plans, with a median negotiated amount of $360. This commercial rate is significantly higher than the Medicare benchmark of $181.34, reflecting the typical administrative markup and contract structures that commercial payers utilize. While the facility offers a cash median price of $298, which is lower than the average negotiated rate, patients with high-deductible plans may find that paying out-of-pocket is more cost-effective than relying on insurance, as the insurer's allowed amount often exceeds the cash price. It is important to verify your specific plan's allowed amount before scheduling, as in-network status does not guarantee the lowest possible price for the service.
To potentially reduce your out-of-pocket costs, you should inquire directly with the hospital about "self-pay" or "prompt-pay" discounts, which can offer a fee reduction of 20% to 50% for upfront payment. These discounts bypass the costly insurance claims processing cycle, allowing the facility to offer a lower rate than the standard negotiated amount. Additionally, if you receive an itemized bill, request a full line-by-line audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies that can be corrected. By comparing the facility's rates against the Medicare benchmark and actively seeking cash discounts or billing corrections, you can ensure you are paying a fair price for your care.