CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Decatur County Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $307
  • Cash Discount Price: $307
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Decatur County Hospital is $307. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $307. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.69x the Medicare baseline. Located in 1405 Nw Church Street, Leon, IA.
Cash / Self-Pay
$307

Average discount available for prompt cash payment at this facility.

Insurance Median
$307

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: $307 (169%)
Insurance Median: $307 (169%)
Cash: $307 (169% of Medicare)
Ins. Median: $307 (169% 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
Blue Cross Blue Shield $123 68%
Champva -All Plans $173 95%
Everystep Hospice-All Plans $200 110%
Aetna $207 - $303 114%
Tricare $207 114%
Wellmark Hmo $208 115%
Wellmark Ppo - All Other Plans $228 126%
Benefit Admin System-All Plans $250 138%
Humana $280 154%
Meritain Health-All Plans $280 154%
Misc Commercial-All Plans $280 154%
All Savers-All Plans $288 159%
Allied Benefit System-All Plans $288 159%
American Family Ins Grp-All Plans $288 159%
Rural Carrier Benefit Plan-All Plans $296 163%
Christian Healthcare -All Plans $307 169%
Medica-All Other Plans $307 169%
Golden Rule-All Plans $326 180%
Ntca The Rural Broadband-All Plans $326 180%
UnitedHealthcare $326 180%
Cigna $330 182%
Medical Mutual-All Plans $338 186%
Farm Bureau Financial-All Other Plans $346 191%
Farm Bureau Property And Ca $346 191%
Medi Share-All Plans $349 192%
Uhss-All Plans $349 192%
Health Partners-All Plans $353 195%
Lewermark-All Plans $365 201%
Mail Handlers Benefit-All Plans $376 207%
Midlands Choice-All Plans $376 207%
Priority Health-All Plans $384 212%
Iowa Total Care Mcaid-All Plans $392 216%
Amerigroup Mcaid-All Plans $403 222%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1405 Nw Church Street, Leon, IA 50144
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals