CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Crawford County Memorial Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $808
Cash Discount Price: $760
vs. Medicare Baseline: 4.46x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Crawford County Memorial Hospital is $808. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $760. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 4.46x the Medicare baseline. Located in 100 Medical Parkway, Denison, IA.

Cash / Self-Pay

$760

Average discount available for prompt cash payment at this facility.

Insurance Median

$808

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: $760 (419%)

Insurance Median: $808 (446%)

Cash: $760 (419% of Medicare)

Ins. Median: $808 (446% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 446% of the Medicare baseline (a markup of 346%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Wellmark Hmo	$208	115%
Wellmark Ppo-All Other Plans	$228	126%
Amerigroup Mcr Adv-All Plans	$408	225%
Iowa Total Care Mcaid-All Plans	$504	278%
Sanford Health-All Plans	$712	393%
Multiplan-All Plans	$902	497%
Avera-All Plans	$922	508%
Medica Comm-All Plans	$922	508%
Midlands Choice-All Plans	$922	508%
UnitedHealthcare	$931	513%

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 $760.
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 Crawford County Memorial Hospital 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.