CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Northwest Health-La Porte

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $185
  • Cash Discount Price: $99
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Northwest Health-La Porte is $185. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $99. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.02x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.
Cash / Self-Pay
$99

Average discount available for prompt cash payment at this facility.

Insurance Median
$185

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: $99 (55%)
Insurance Median: $185 (102%)
Cash: $99 (55% of Medicare)
Ins. Median: $185 (102% 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
Lutheran $61 - $62 34%
Self Pay $75 - $124 41%
One Call $91 50%
Php $94 - $95 52%
Lutheran Preferred Medpartners $95 - $96 52%
Alpha Baking $102 - $103 56%
Caresource $122 - $159 67%
Php Freedom Network $137 - $138 76%
Encore $148 - $339 82%
Blue Cross Blue Shield $159 - $765 88%
County Of Laporte $159 - $160 88%
Humana $159 - $185 88%
Managed Health Services $159 - $376 88%
Medicaid / KanCare $159 88%
Mhs $159 88%
UnitedHealthcare $159 - $188 88%
Cigna $169 - $170 93%
Prime Health Services $170 - $172 94%
Prime Health Services Auto $170 - $172 94%
Aetna $176 - $189 97%
Tricare $178 98%
Ihn $182 - $183 100%
Medicare (plans) $185 102%
Node Champva $188 104%
Node Hospice Non Par Agree $188 104%
Node Va $188 104%
Va Choice Program $188 104%
Node Devoted Health Mcr Adv $189 104%
Indiana Dept Of Correction $196 108%
Community Health Alliance $197 - $199 109%
Node Pphp Mcr Adv $198 109%
Lutheran Network $200 - $376 110%
Sagamore Health Network $200 - $202 110%
Chandler Group $204 - $206 112%
Hfn Workers Compensation $204 - $206 112%
Multiplan $204 - $206 112%
Phcs $204 - $206 112%
Us Department Of Labor $235 130%
Prime Health In Work Comp $339 187%
In Wc $376 207%
Encore Kba Epo $452 249%
Magnacare Ma $461 254%
Encore Kba Ppo $565 312%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1007 Lincolnway, La Porte, IN 46350
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals