CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Wabash General Hospital 1

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $122
  • Cash Discount Price: $215
  • vs. Medicare Baseline: 0.67x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Wabash General Hospital 1 is $122. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $215. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.67x the Medicare baseline. Located in 1418 College Drive, Mount Carmel, IL.
Cash / Self-Pay
$215

Average discount available for prompt cash payment at this facility.

Insurance Median
$122

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: $215 (119%)
Insurance Median: $122 (67%)
Cash: $215 (119% of Medicare)
Ins. Median: $122 (67% 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
Blue Cross Blue Shield $28 - $373 15%
UnitedHealthcare $29 - $216 16%
Health Alliance Mcr Adv - All Plans $30 - $85 17%
Aetna $62 - $373 34%
Healthlink Hmo $66 - $189 36%
Cigna $70 - $203 39%
Encore Combined Ip/Op Only $70 - $203 39%
Hope Trust - All Plans $70 - $203 39%
Healthlink Ppo - All Other Plans $75 - $216 41%
Phcs - All Plans $75 - $216 41%
Health Smart - All Plans $80 - $230 44%
Hfn - All Plans $80 - $230 44%
Multiplan - All Plans $80 - $230 44%
Siho Network - All Plans $80 - $230 44%
Encore Health Network Ip/Op Only - All Other Plans $84 - $243 46%
Meridian Mcaid - All Plans $373 206%
Molina Mcaid - All Plans $373 206%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1418 College Drive, Mount Carmel, IL 62863
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals