CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Northside Hospital Forsyth

Billing Code: 90834 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$223

about 1.2× the $181 Medicare rate · typically $133–$291

modeled estimate · not a bill or quote

What this hospital charges insurers

$185

Below the fair price — a good deal

about $38 under the fair price · 1.0× Medicare

Medicare pays $181 Fair price $223 This hospital $185 Cash price $343 Hospital's list price $457

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $105 Priciest $185

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

A fair price for a Psychotherapy session (45 minutes) is about $223 (about 1.2× the $181 Medicare rate). Northside Hospital Forsyth charges insurers about $185, or about $343 in cash — below the fair price — a good deal. Located in Cumming, GA.

What each insurance company pays

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

6 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	$177	98%
Blue Cross Blue Shieldmajor	$128 - $319	71%
Aetnamajor	$181 - $311	100%
Cignamajor	$66 - $288	36%
Humanamajor	$179 - $184	99%
Kaiser Permanentemajor	$183 - $398	101%
Ambetter (Centene)	$55 - $215	30%
Amerigroup	$65 - $119	36%
CareSource	$57 - $183	31%
Clover Health	$186	103%
Health Net	$283	156%
Oscar Health	$215	119%
WellCare	$183	101%
+ 23 smaller / regional plans	$68 - $457

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

Excludes 9 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 343), 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 Northside Hospital Forsyth 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 Northside Hospital Forsyth

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

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