CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Saint Joseph Regional Medical Center

Billing Code: 90834 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$131
about 0.7× the $181 Medicare rate · typically $90–$182
modeled estimate · not a bill or quote
What this hospital charges insurers
$109
Below the fair price — a good deal
about $22 under the fair price · 0.6× Medicare
Medicare pays $181 Fair price $131 This hospital $109 Cash price $227 Hospital's list price $227

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $41 Priciest $109

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

A fair price for a Psychotherapy session (45 minutes) is about $131 (about 0.7× the $181 Medicare rate). Saint Joseph Regional Medical Center charges insurers about $109, or about $227 in cash — below the fair price — a good deal. Located in Mishawaka, IN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $102 - $156 56%
Blue Cross Blue Shieldmajor $102 - $109 56%
Aetnamajor $102 - $112 56%
Cignamajor $102 - $227 56%
Humanamajor $102 - $109 56%
Kaiser Permanentemajor $108 60%
Ambetter (Centene) $102 56%
CareSource $145 80%
Clover Health $109 60%
GEHA $156 86%
Health Net $102 - $227 56%
HealthPartners $102 56%
Meridian $102 - $109 56%
Molina $102 56%
Paramount $102 56%
Presbyterian $102 - $109 56%
Tufts Health Plan $102 56%
WellMed $109 60%
WellSense $102 56%
+ 348 smaller / regional plans $75 - $227
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 10 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 5215 Holy Cross Pkwy, Mishawaka, IN 46545
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals