CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Kossuth Regional Health Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $209
  • Cash Discount Price: $421
  • vs. Medicare Baseline: 1.15x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Kossuth Regional Health Center is $209. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $421. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.15x the Medicare baseline. Located in 1515 South Phillips Street, Algona, IA.
Cash / Self-Pay
$421

Average discount available for prompt cash payment at this facility.

Insurance Median
$209

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: $421 (232%)
Insurance Median: $209 (115%)
Cash: $421 (232% of Medicare)
Ins. Median: $209 (115% 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
Humana $91 - $301 50%
Va Ccn - All Plans $91 50%
Amerigroup Mcr Adv - All Other Plans $93 - $304 51%
UnitedHealthcare $94 - $210 52%
Mercy One - All Plans $96 - $298 53%
Sanford Pho Isno Mcr Adv Profee Only - All Plans $96 53%
Midlands Choice - All Plans $111 - $550 61%
Health Partners New Bus - All Other Plans $120 - $550 66%
Blue Cross Blue Shield $132 - $208 73%
Health Partners Exisiting Bus $132 - $761 73%
Medical Associates - All Plans $150 - $667 83%
Preferred Health - All Plans $150 - $667 83%
Aetna $167 - $761 92%
Multiplan - All Plans $255 - $746 141%
Molina Mcaid/Chip - All Plans $275 - $809 152%
Amerigroup Mcaid $276 - $816 152%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 South Phillips Street, Algona, IA 50511
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals