Psychotherapy session (60 minutes)
Facility: Lindsborg Community Hospital
Billing Code: 90837 (CPT)
- CPT Billing Code: 90837
- Insurance Median: $227
- Cash Discount Price: $233
- vs. Medicare Baseline: 1.25x 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 | $38 - $150 | 21% |
| Tricare | $113 | 62% |
| Coventry Mcr Adv | $114 - $202 | 63% |
| Cigna | $203 - $361 | 112% |
| Coventry Comm-All Other Plans | $215 - $382 | 119% |
| UnitedHealthcare | $215 | 119% |
| Phcs Preferred-All Plans | $223 - $395 | 123% |
| Multiplan-All Plans | $223 - $395 | 123% |
| Coventry Wc | $227 - $404 | 125% |
| Wppa-All Plans | $227 - $404 | 125% |
| Century Health-All Plans | $227 - $404 | 125% |
| Health Partners -All Plans | $227 - $404 | 125% |
Consumer Guidance & Cost Commentary
For CPT code 90837, representing a 60-minute psychotherapy session at Lindsborg Community Hospital in Kansas, the facility's cash median rate is $233.00, while the negotiated rate paid by insurers is $227.00. This service is benchmarked against a Medicare amount of $181.34, indicating that the cash price is approximately 128% of the Medicare baseline. Notably, the cash rate is lower than the gross charges listed for most payers, such as Cigna and Coventry, which range from $203 to $395. For patients with high-deductible plans, paying the cash price of $233.00 upfront may be more cost-effective than relying on insurance, as the negotiated rates often exceed the cash amount due to administrative overhead and contract structures.
Patients should verify their specific plan details before scheduling, as commercial rates vary significantly by payer, with Tricare showing a fixed rate of $113.00 while others like Coventry Mcr Adv and Phcs Preferred range from $114 to $404. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is crucial to request a prompt-pay discount if paying cash directly. Lindsborg Community Hospital, a voluntary non-profit Critical Access Hospital, may offer self-pay or prompt-pay reductions that are not reflected in the standard negotiated rates, so patients are encouraged to contact the billing department prior to visitation to confirm the lowest possible out-of-pocket cost.