Psychotherapy session (60 minutes)
Facility: Wamego Health Center
Billing Code: 90837 (CPT)
- CPT Billing Code: 90837
- Insurance Median: $120
- Cash Discount Price: $177
- vs. Medicare Baseline: 0.66x 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 |
|---|---|---|
| Tricare | $110 | 61% |
| UnitedHealthcare | $116 | 64% |
| Aetna | $120 | 66% |
| Medicaid / KanCare | $120 - $121 | 66% |
| Providrs Care | $184 | 101% |
| Blue Cross Blue Shield | $199 - $209 | 110% |
Consumer Guidance & Cost Commentary
For a 60-minute psychotherapy session at Wamego Health Center, the facility's cash median rate is $177.00, which is notably lower than the negotiated rates charged to most major payers in this region. While the facility's cash price exceeds the national average for this service, it remains significantly lower than the negotiated amounts billed to insurers like Blue Cross Blue Shield (ranging from $199 to $209) and Medicaid/KanCare (ranging from $120 to $121). Patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as the $177.00 rate is lower than the negotiated rates that insurance companies are contractually obligated to pay. To secure the lowest possible cost, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill by 20% to 50% if paid in full upfront.
When evaluating the cost of this service, it is important to compare the facility's rates against the Medicare benchmark rather than the hospital's inflated chargemaster list. The Medicare amount for this procedure is $181.34, which serves as a scientifically validated baseline for the true cost of delivery. The facility's cash rate of $177.00 is slightly below this Medicare benchmark, indicating a pricing structure that is competitive and fair. Although the data does not provide specific state or county averages for this specific CPT code, the facility's cash rate is comparable to the national average, while its negotiated rates for commercial payers are substantially higher. Consumers should verify their specific plan's deductible status before