CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Madison County Health Care System

Billing Code: 90834 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$220
about 1.2× the $181 Medicare rate · typically $122–$328
modeled estimate · not a bill or quote
What this hospital charges insurers
$218
About the fair price
about $2 under the fair price · 1.2× Medicare
Medicare pays $181 Fair price $220 This hospital $218 Cash price $340 Hospital's list price $425

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

Highest price of the 9 IA hospitals we have prices for — worth calling around.

Cheapest $83 Priciest $218

Black dot = this hospital, among the 9 IA hospitals with a price for this procedure. Full list below.

A fair price for a Psychotherapy session (45 minutes) is about $220 (about 1.2× the $181 Medicare rate). Madison County Health Care System charges insurers about $218, or about $340 in cash — about the fair price. Located in Winterset, IA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $200 110%
Blue Cross Blue Shieldmajor $208 - $228 115%
Aetnamajor $183 - $276 101%
Amerigroup $212 117%
Molina $207 114%
Oscar Health $274 151%
+ 14 smaller / regional plans $183 - $425
Government programs also on file: Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 300 West Hutchings Street, Winterset, IA 50273
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals