CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Clay County Hospital

Billing Code: 90834 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$159
about 0.9× the $181 Medicare rate · typically $103–$344
modeled estimate · not a bill or quote
What this hospital charges insurers
$126
Below the fair price — a good deal
about $33 under the fair price · 0.7× Medicare
Medicare pays $181 Fair price $159 This hospital $126 Cash price $371 Hospital's list price $371

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $85 Priciest $126

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a Psychotherapy session (45 minutes) is about $159 (about 0.9× the $181 Medicare rate). Clay County Hospital charges insurers about $126, or about $371 in cash — below the fair price — a good deal. Located in Flora, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $98 - $297 54%
Blue Cross Blue Shieldmajor $154 - $272 85%
Aetnamajor $92 - $293 51%
Cignamajor $297 164%
Ambetter (Centene) $100 55%
HealthLink $241 - $297 133%
Medica $100 - $230 55%
Meridian $100 55%
WellCare $100 55%
+ 1 smaller / regional plan $352

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Facility Profile & Credentials

  • Address: 911 Stacy Burk Dr, Flora, IL 62839
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals