CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Oro Valley Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $210
  • Cash Discount Price: $242
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Oro Valley Hospital is $210. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $242. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.16x the Medicare baseline. Located in 1551 East Tangerine Road, Oro Valley, AZ.
Cash / Self-Pay
$242

Average discount available for prompt cash payment at this facility.

Insurance Median
$210

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%)
Cash / Self-Pay: $242 (133%)
Insurance Median: $210 (116%)
Cash: $242 (133% of Medicare)
Ins. Median: $210 (116% 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.

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
Medicaid / KanCare $96 - $103 53%
Magellan $101 - $440 56%
Veterans Eval Services $103 57%
Blue Cross Blue Shield $112 - $462 62%
Aetna $139 - $246 77%
Self Pay $176 - $308 97%
Caremore Health Plan $186 103%
Cigna $186 - $220 103%
Humana $186 - $325 103%
Medicare (plans) $186 103%
Scan Health $186 103%
Pascua Yaqui Tribe $188 104%
Department Of Veterans Affairs $189 104%
Node Non Par Hospice Agree $189 104%
Node Triwest $189 104%
Node Va $189 104%
Tricare $189 104%
Fresenius Health $190 105%
Clover Health Mcr Adv $191 105%
Node Devoted Health Mcr Adv $192 106%
Node Banner Mcr Adv $196 108%
Wellcare Mcr Adv $196 108%
Node Us Dept Of Labor $237 131%
Ambetter / Centene $267 147%
Node Health Choice Exchange $282 156%
Node Fusion Network $341 188%
Node J Allen Inmate Health Svcs $360 199%
Beacon Health Options $367 202%
Mtc $367 202%
First Health Coventry $385 212%
Health Net $398 219%
Seven Corners $436 240%
Coventry Work Comp Al $440 243%
Multiplan $609 336%
Prime Health $624 344%
Three Rivers $624 344%
Healthsmart $661 365%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1551 East Tangerine Road, Oro Valley, AZ 85755
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals