CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Northwest Medical Center

Billing Code: 90834 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$175

about 1.0× the $181 Medicare rate · typically $101–$197

modeled estimate · not a bill or quote

What this hospital charges insurers

$196

About the fair price

about $21 over the fair price · 1.1× Medicare

Medicare pays $181 Fair price $175 This hospital $196 Cash price $220 Hospital's list price $734

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

A typical price — 1 charge more and 5 charge less, among the 9 AZ hospitals compared.

Cheapest $104 Priciest $200

Black dot = this hospital, among the 9 AZ hospitals with a price for this procedure. Full list below.

A fair price for a Psychotherapy session (45 minutes) is about $175 (about 1.0× the $181 Medicare rate). Northwest Medical Center charges insurers about $196, or about $220 in cash — about the fair price. Located in Tucson, AZ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$367	202%
Blue Cross Blue Shieldmajor	$110 - $462	61%
Aetnamajor	$132 - $440	73%
Cignamajor	$186 - $220	103%
Humanamajor	$186	103%
Ambetter (Centene)	$267	147%
Banner Health	$196	108%
Clover Health	$191	105%
Devoted Health	$192	106%
Health Net	$300	165%
WellCare	$196	108%
+ 11 smaller / regional plans	$101 - $436

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 220), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90834.

Insurance Before you use insurance

Call your insurance company to confirm Northwest Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 90834.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Northwest Medical Center

Compare: Psychotherapy session (45 minutes) at other AZ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.