CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Southeast Iowa Regional Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $179
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Southeast Iowa Regional Medical Center is $179. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.99x the Medicare baseline. Located in 1221 South Gear Avenue, West Burlington, IA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$179

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%)

Insurance Median: $179 (99%)

Ins. Median: $179 (99% 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
Medicaid / KanCare	$54 - $106	30%
United Behavioral Health Ma	$66 - $69	36%
United Behavioral Health Rn	$66 - $79	36%
United Behavioral Health Phd	$75 - $79	41%
American Healthplan Of Iowa - Midlevel	$82	45%
United Behavioral Health Md	$88 - $95	49%
Humana	$97	53%
Aetna	$99 - $203	55%
Immergrun	$114	63%
Midlands Choice	$120 - $276	66%
American Healthplan Of Iowa - Md	$122	67%
Plain Church	$126 - $200	69%
6 Degree	$145 - $246	80%
Blue Cross Blue Shield	$152 - $248	84%
Wellpoint (Amerigroup)	$172	95%
Absolute Solutions	$175 - $253	97%
First Agency	$175 - $253	97%
Multiplan	$175 - $253	97%
Henderson County	$184 - $267	101%
Elap	$189 - $269	104%
Immugrun	$193	106%
Brighton Amish Church	$200	110%
UnitedHealthcare	$215	119%
Geha	$286	158%

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 $X.
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 Southeast Iowa Regional 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.