CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Caribou Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $199
Cash Discount Price: $146
vs. Medicare Baseline: 1.10x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Caribou Medical Center is $199. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $146. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.10x the Medicare baseline. Located in 300 South 3Rd West, Soda Springs, ID.

Cash / Self-Pay

$146

Average discount available for prompt cash payment at this facility.

Insurance Median

$199

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: $146 (81%)

Insurance Median: $199 (110%)

Cash: $146 (81% of Medicare)

Ins. Median: $199 (110% 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.

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
Humana	$94	52%
Pacific Source Mcr Adv	$94	52%
Regence Blue Shield Mcr	$94	52%
Select Health Mcr Adv	$94	52%
Select Health/Bright Path Mcr Adv	$94	52%
Blue Cross Blue Shield	$95 - $205	52%
Aetna	$132 - $205	73%
First Choice Health-All Plans	$188	104%
Bc Qualified Hp (Qhp)	$195	108%
Deseret Healthcare-All Plans	$199	110%
Pacific Source-All Other Plans	$203	112%
UnitedHealthcare	$203	112%
Cigna	$205	113%
Montana Health Co-Op-All Plans	$205	113%
Regence Blue Shield-All Other Plans	$205	113%
Select Health-All Other Plans	$205	113%

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 $146.
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 Caribou Medical Center 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.