CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Northside Hospital Cherokee

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $297
  • Cash Discount Price: $343
  • vs. Medicare Baseline: 1.64x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Northside Hospital Cherokee is $297. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $343. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.64x the Medicare baseline. Located in 450 Northside Cherokee Boulevard, Canton, GA.
Cash / Self-Pay
$343

Average discount available for prompt cash payment at this facility.

Insurance Median
$297

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: $343 (189%)
Insurance Median: $297 (164%)
Cash: $343 (189% of Medicare)
Ins. Median: $297 (164% 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
Ambetter / Centene $51 - $215 28%
Medicaid / KanCare $51 - $59 28%
Caresource $53 - $183 29%
Amerigroup $68 - $119 37%
Champus Va $68 37%
Cigna $68 - $288 37%
Blue Cross Blue Shield $128 - $319 71%
Mti $174 96%
One Call Diagnostics $174 96%
Clear Springs Eon Health $177 98%
Medicare (plans) $177 - $216 98%
UnitedHealthcare $177 98%
Va Ccn $177 98%
Humana $179 - $184 99%
Bccp $180 99%
Cbww $180 99%
Tricare $180 99%
Truths Community $180 99%
Aetna $181 - $311 100%
Coventry $181 - $311 100%
Georgia Reproductive Specialists $183 101%
Kaiser $183 - $398 101%
Medlien Healthcare Services $183 101%
Wellcare $183 101%
Homelink $184 101%
Clover Health $186 103%
Pruitt Health Premier $186 103%
Fairly Group $204 112%
Med Care Solutions $206 114%
Oscar $215 119%
Us Dept Of Labor Wc $225 124%
Health One Alliance_Ppo $251 138%
Quick Trip $251 138%
Northside Health Network $283 156%
Novanet_Ppo $320 176%
Genex/Priority Care Solutions $337 186%
Spreemo $337 186%
Phcs $343 189%
Authentic 4D $379 209%
Streamline Imaging $379 209%
Beech Steet $388 214%
Multiplan $388 214%
Multiplan Workers Comp $388 214%
Corvel Workers Comp $400 221%
Employers Choice Network $400 221%
Fieldale Farms Wc $421 232%
Georgia Workers Compensation $421 232%
Careiq $457 252%
Cherokee County Board Of Health $457 252%
Dekalb_Department Of Health $457 252%
Fifa $457 252%
Institutional Marietta Surgery Center $457 252%
Institutional Veterans Evaluation Services $457 252%
Rabun County Boc $457 252%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 450 Northside Cherokee Boulevard, Canton, GA 30115
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals