CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Thomas H Boyd Memorial Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $737
Cash Discount Price: $807
vs. Medicare Baseline: 4.06x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Thomas H Boyd Memorial Hospital is $737. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $807. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 4.06x the Medicare baseline. Located in 800 School St, Carrollton, IL.

Cash / Self-Pay

$807

Average discount available for prompt cash payment at this facility.

Insurance Median

$737

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: $807 (445%)

Insurance Median: $737 (406%)

Cash: $807 (445% of Medicare)

Ins. Median: $737 (406% 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 406% of the Medicare baseline (a markup of 306%). 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
Aetna	$515 - $804	284%
Blue Cross Blue Shield	$515 - $804	284%
Health Alliance Mcr Adv	$515	284%
UnitedHealthcare	$515 - $525	284%
Wellcare Mcr Adv-All Plans	$515	284%
Humana	$520	287%
Health Alliance-All Other Plans	$618	341%
Ambetter / Centene	$669	369%
Cigna	$719	396%
Multiplan-All Plans	$757	417%
Healthlink Hmo	$767	423%
Healthlink Il Only	$767	423%
Meridian Hp Mcaid-All Plans	$804	443%
Molina Mcaid-All Plans	$804	443%
Healthlink Ppo-All Other Plans	$868	479%
Hfn Zelis-All Plans	$918	506%

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 $807.
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 Thomas H Boyd 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.