CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Jones Regional Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $130
  • Cash Discount Price: $193
  • vs. Medicare Baseline: 0.72x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Jones Regional Medical Center is $130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $193. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.72x the Medicare baseline. Located in 1795 Highway 64 East, Anamosa, IA.
Cash / Self-Pay
$193

Average discount available for prompt cash payment at this facility.

Insurance Median
$130

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: $193 (106%)
Insurance Median: $130 (72%)
Cash: $193 (106% of Medicare)
Ins. Median: $130 (72% 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
Health Partners Open Network $88 - $128 49%
Aetna $89 - $217 49%
Amerivantage $89 - $99 49%
Humana $89 - $99 49%
Blue Cross Blue Shield $91 - $132 50%
Iowa Health $94 - $99 52%
UnitedHealthcare $94 - $241 52%
Amerigroup $106 58%
Iowa Total Care $106 58%
Wellmark Uph Self-Funded $123 - $132 68%
Medica Exchange Inspire $191 105%
Cigna $198 - $226 109%
Medica Exchange Insure $214 118%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1795 Highway 64 East, Anamosa, IA 52205
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals