CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: University of Iowa Health Care Medical Center Down

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $176
  • Cash Discount Price: $206
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at University of Iowa Health Care Medical Center Down is $176. 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 0.97x the Medicare baseline. Located in 500 E Market Street, Iowa City, IA.
Cash / Self-Pay
$206

Average discount available for prompt cash payment at this facility.

Insurance Median
$176

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: $176 (97%)
Cash: $206 (114% of Medicare)
Ins. Median: $176 (97% 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
Immergrun $58 - $74 32%
UnitedHealthcare $88 - $505 49%
Aetna $89 - $176 49%
Iowa Total Care $89 - $157 49%
Medical Associates $89 - $349 49%
Molina Healthcare $89 - $118 49%
Blue Cross Blue Shield $90 - $153 50%
Healthpartners $91 - $250 50%
Wellpoint (Amerigroup) $94 - $159 52%
Quad City Community Healthcare $116 - $220 64%
Midlands Choice $122 - $323 67%
Oscar Health $147 - $185 81%
Great River Health Systems $163 - $206 90%
Aplos Health Plan $186 - $235 103%
Sedgwick $186 - $235 103%
Global Excel $198 - $250 109%
Sanford Health Plan $198 - $250 109%
Sisco $205 - $259 113%
Employee Benefit Systems $210 - $265 116%
Healthsmart $210 - $265 116%
Hfn $214 - $270 118%
Multiplan $214 - $270 118%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 E Market Street, Iowa City, IA 52245
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals