Psychotherapy session (60 minutes)
Facility: Centura St. Catherine-Dodge City
Billing Code: 90837 (CPT)
- CPT Billing Code: 90837
- Insurance Median: $132
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.73x 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 |
|---|---|---|
| Blue Cross Blue Shield | $132 - $178 | 73% |
| Medicare (plans) | $132 | 73% |
| Aetna | $132 | 73% |
| Kansas Health | $132 | 73% |
| Humana | $132 | 73% |
| Cigna | $132 | 73% |
| Kaiser | $132 | 73% |
Consumer Guidance & Cost Commentary
For a 60-minute psychotherapy session at Centura St. Catherine-Dodge City, the negotiated rates across major payers like Blue Cross Blue Shield, Aetna, and Medicare are consistently $132. This amount is significantly lower than the facility's full chargemaster list price, reflecting standard insurance contracts. However, it is important to note that this negotiated rate is higher than the typical cash price for this service. Patients with high-deductible plans or those paying out-of-pocket may find it financially beneficial to pay the cash price directly, as it avoids the administrative markup and claims processing fees inherent in the insurance billing cycle. Before scheduling, it is advisable to ask the hospital specifically about "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed.
The facility's pricing is benchmarked against Medicare, which sets a fixed reimbursement rate of $181.34 for this procedure. While the commercial negotiated rate of $132 is lower than the Medicare amount, this comparison highlights that commercial rates are often driven by volume-based contracts rather than pure cost recovery. The No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, ensuring that the $132 rate is the maximum they will be charged by their insurer. To ensure accuracy, patients should request a detailed, itemized bill rather than a summary invoice, as hospitals sometimes bundle services or charge for items not rendered. Disputing any errors in writing is the most effective way to prevent unexpected charges.