CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Boone County Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $343
  • Cash Discount Price: $604
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Boone County Hospital is $343. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $604. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.89x the Medicare baseline. Located in 1015 Union Street, Boone, IA.
Cash / Self-Pay
$604

Average discount available for prompt cash payment at this facility.

Insurance Median
$343

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: $604 (333%)
Insurance Median: $343 (189%)
Cash: $604 (333% of Medicare)
Ins. Median: $343 (189% 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
Tricare $181 100%
Wellmark Hmo $280 154%
Wellmark Ppo - All Other Plans $308 170%
Choice Care Mcr Adv - All Plans $310 171%
Humana $310 - $680 171%
Iowa Hlth Adv - All Plans $310 171%
Mt Carmel Hp - All Plans $310 171%
Amerigroup Mcr Adv - All Other Plans $313 173%
Aetna $316 - $589 174%
Meridian Mcaid - All Plans $340 187%
Iowa Total Care Mcaid - All Plans $347 191%
Medicaid / KanCare $350 193%
Healthsmart Accell Network $528 291%
Medical Associates Hp-All Plans $566 312%
Healthsmart Ppo - All Other Plans $604 333%
Health Alliance-All Plans $680 375%
Midlands Choice-All Plans $695 383%
Mutually Preferred-All Plans $717 395%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1015 Union Street, Boone, IA 50036
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals