CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Lawrence Memorial Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $100
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.55x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Lawrence Memorial Hospital is $100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.55x the Medicare baseline. Located in 1309 West Main Street, Walnut Ridge, AR.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$100

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%)

Insurance Median: $100 (55%)

Ins. Median: $100 (55% 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
Arkansas Total Care	$78 - $113	43%
Caresource	$81 - $117	45%
Humana	$87 - $100	48%
Ambetter / Centene	$89 - $100	49%
Amerigroup	$89 - $100	49%
Blue Cross Blue Shield	$89 - $138	49%
Arkansas Superior Select	$91	50%
Provider Partners Health Plans	$91	50%
Wellcare By Allwell	$91	50%
Wellcare Health Plans	$91	50%
Allwell	$93 - $105	51%
Wellcare	$93 - $105	51%
Qualchoice Of Arkansas	$100	55%
Qualchoice	$102 - $115	56%
Cigna	$104 - $120	57%
Covenant Healthcare	$112	62%
Empower Healthcare Solutions	$118	65%
Assured Benefits Administrators	$139	77%

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 $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90834.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lawrence Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90834.
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.