CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Massac Memorial Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $177
Cash Discount Price: $178
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Massac Memorial Hospital is $177. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $178. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.98x the Medicare baseline. Located in 28 Chick Street, Po Box 850, Metropolis, IL.

Cash / Self-Pay

$178

Average discount available for prompt cash payment at this facility.

Insurance Median

$177

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: $178 (98%)

Insurance Median: $177 (98%)

Cash: $178 (98% of Medicare)

Ins. Median: $177 (98% 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
Blue Cross Blue Shield	$102 - $347	56%
Aetna	$108 - $347	60%
Health Alliance Mcare Adv	$108 - $162	60%
Humana	$108 - $162	60%
Health Alliance Exchange	$133 - $198	73%
Health Alliance-All Other Plans	$133 - $198	73%
Prime Health Services-All Plans	$133 - $198	73%
Healthlink Hmo	$150 - $224	83%
Cigna	$168 - $251	93%
Healthlink Ppo-All Other Plans	$168 - $251	93%
UnitedHealthcare	$171 - $256	94%
Multiplan-All Plans	$184 - $274	101%
Medicaid / KanCare	$347	191%
Molina Ky Mcaid	$347	191%

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 $178.
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 Massac 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.