CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Atrium Health Floyd Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $230
  • Cash Discount Price: $217
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Atrium Health Floyd Medical Center is $230. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $217. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.27x the Medicare baseline. Located in 304 Turner McCall Boulevard, Rome, GA.
Cash / Self-Pay
$217

Average discount available for prompt cash payment at this facility.

Insurance Median
$230

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: $217 (120%)
Insurance Median: $230 (127%)
Cash: $217 (120% of Medicare)
Ins. Median: $230 (127% 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
Amerigroup $73 40%
Caresource $74 - $235 41%
Peach State Health Plan $74 41%
Awc Networks $85 47%
Oscar Health Plan $85 - $152 47%
Blue Cross Blue Shield $157 - $326 87%
Cigna $157 - $260 87%
Georgia Assurance $157 87%
Humana $157 - $282 87%
UnitedHealthcare $157 - $326 87%
Aetna $158 - $295 87%
Wellcare $160 88%
Clover $161 89%
Alliant Health Plans $174 - $235 96%
Beacon $217 120%
Evernorth $217 120%
Ambetter / Centene $235 130%
Occunet $235 130%
Multiplan $304 168%
Beech Street $339 187%
Private Health Care Systems $369 203%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 304 Turner McCall Boulevard, Rome, GA 30162
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals