CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Atrium Health Navicent the Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $157
Cash Discount Price: $206
vs. Medicare Baseline: 0.87x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Atrium Health Navicent the Medical Center is $157. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $206. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.87x the Medicare baseline. Located in 777 Hemlock Street, Macon, GA.

Cash / Self-Pay

$206

Average discount available for prompt cash payment at this facility.

Insurance Median

$157

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: $206 (114%)

Insurance Median: $157 (87%)

Cash: $206 (114% of Medicare)

Ins. Median: $157 (87% 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
Aetna	$90 - $284	50%
Blue Cross Blue Shield	$90 - $489	50%
Georgia Health Advantage	$90 - $157	50%
Humana	$90 - $282	50%
UnitedHealthcare	$90 - $157	50%
Care Source	$92 - $160	51%
Clover	$92 - $160	51%
Eon Health	$92 - $160	51%
Kaiser	$93 - $267	51%
Pruitt Health	$94 - $157	52%
Alliant	$108 - $358	60%
Ambetter / Centene	$121 - $210	67%
Multiplan	$122 - $329	67%
Cigna	$123 - $270	68%
Securehealth	$138 - $144	76%
Beechstreet	$150 - $382	83%
Ibg	$150 - $291	83%
Novanet	$150 - $329	83%
Three Rivers Provider Network	$159 - $349	88%

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 $206.
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 Atrium Health Navicent the Medical Center 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.