CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Lutheran Hospital of Indiana

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $104
  • Cash Discount Price: $57
  • vs. Medicare Baseline: 0.57x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Lutheran Hospital of Indiana is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.57x the Medicare baseline. Located in 7950 W Jefferson Blvd, Fort Wayne, IN.
Cash / Self-Pay
$57

Average discount available for prompt cash payment at this facility.

Insurance Median
$104

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: $57 (31%)
Insurance Median: $104 (57%)
Cash: $57 (31% of Medicare)
Ins. Median: $104 (57% 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
Physicians Health Plan Of Northern Indiana $33 - $86 18%
Ky Work Comp $34 - $55 19%
Amish Aid $40 - $66 22%
Lutheran Preferred Network $40 - $131 22%
Self Pay $40 - $79 22%
Cigna $43 - $80 24%
Php Freedom Network $44 - $73 24%
Blue Cross Blue Shield $49 - $772 27%
Aetna $53 - $185 29%
Lutheran Preferred $53 - $88 29%
Sagamore $61 - $118 34%
Encore Ppo $65 - $107 36%
Lutheran Network $66 - $376 36%
One Call Care Diagnostics $91 50%
Multiplan $97 - $182 53%
Prime Health Services $100 - $338 55%
Veterans Eval Services $102 56%
Encore Health Network $109 - $197 60%
Advantage Health Solutions $110 - $182 61%
Allied Benefit Systems $120 - $197 66%
Evolutions $120 - $197 66%
UnitedHealthcare $166 - $188 92%
Humana $185 102%
Iu Health Plan $185 102%
Managed Health Services $185 - $376 102%
Medicare (plans) $185 102%
Node Devoted Health Mcr Adv $188 104%
Node Hospice Non Par Agree $188 104%
Node Va $188 104%
In Dept Of Correction $195 108%
Node Pphp Mcr Adv $197 109%
Us Department Of Labor $235 130%
Lutheran Advanced Network $282 156%
Node Lutheran Network $282 - $329 156%
Node Lutheran Preferred Fixed 2 $282 156%
Align Network $300 165%
Encore Work Comp In $338 186%
Node Encore Kba Epo $451 249%
Node Encore Kba Ppo $563 310%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals