CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Eastern Idaho Regional Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $376
  • Cash Discount Price: $457
  • vs. Medicare Baseline: 2.07x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Eastern Idaho Regional Medical Center is $376. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $457. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 2.07x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.
Cash / Self-Pay
$457

Average discount available for prompt cash payment at this facility.

Insurance Median
$376

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: $457 (252%)
Insurance Median: $376 (207%)
Cash: $457 (252% of Medicare)
Ins. Median: $376 (207% 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 207% of the Medicare baseline (a markup of 107%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $87 - $878 48%
Molina $87 48%
Select Health $136 - $280 75%
Select Health Ichn Brightpath $136 - $312 75%
Select Health Idaho (Eirmc Only) $143 - $295 79%
Aetna $176 - $450 97%
Doug Andrus Distributing $179 - $370 99%
Pacificsource Health $188 - $495 104%
University Of Utah $188 - $388 104%
Mountain Health Co-Op $224 - $693 124%
Interwest Health $228 - $832 126%
Cigna $246 - $508 136%
United $259 - $534 143%
First Choice Health Of Washington $268 - $555 148%
Moda $279 - $576 154%
Dmba $288 - $595 159%
Prime Health $336 - $786 185%
Geha Ppo Usa $358 - $739 197%
Humana $376 - $776 207%
Multiplan $376 - $832 207%
First Choice Of The Midwest $403 - $832 222%
St. John'S Health Network $403 - $832 222%
Coventry First Health $407 - $841 224%
Regence $415 229%
Shashone-Bannock Tribal Health $447 - $924 246%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Channing Way, Idaho Falls, ID 83404
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals