CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Cleveland Clinic Indian River Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $121
Cash Discount Price: $409
vs. Medicare Baseline: 0.67x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Cleveland Clinic Indian River Hospital is $121. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $409. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.67x the Medicare baseline. Located in 1000 36Th St, Vero Beach, FL.

Cash / Self-Pay

$409

Average discount available for prompt cash payment at this facility.

Insurance Median

$121

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: $409 (226%)

Insurance Median: $121 (67%)

Cash: $409 (226% of Medicare)

Ins. Median: $121 (67% 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
Value Options	$76 - $92	42%
UnitedHealthcare	$78	43%
Magellan	$79 - $247	44%
Amerihealth	$82	45%
Medicaid / KanCare	$82	45%
Molina	$82	45%
Wellcare	$82 - $161	45%
Cigna	$84 - $124	46%
Avmed	$92 - $369	51%
Blue Cross Blue Shield	$92 - $161	51%
Careplus	$92 - $161	51%
United	$92 - $161	51%
Freedom Health	$97 - $161	53%
Independent Living Systems	$97 - $169	53%
Wellmed	$97 - $161	53%
Clear Spring Health	$99 - $141	55%
Aetna	$111 - $762	61%
Carelon Bh Strategies	$161	89%
Humana	$161	89%
Devoted Health	$177	98%
Bmi	$227	125%
Clarity Health	$268 - $551	148%
The Legacy Companies	$268 - $551	148%
Multiplan	$330	182%
National Provider Network	$593	327%
Three Rivers	$593	327%
Consociate Health	$635	350%

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 $409.
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 Cleveland Clinic Indian River 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.