CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: St Joseph Health System, LLC

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $120
  • Cash Discount Price: $63
  • vs. Medicare Baseline: 0.66x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at St Joseph Health System, LLC is $120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.66x the Medicare baseline. Located in 702 Van Buren St., Fort Wayne, IN.
Cash / Self-Pay
$63

Average discount available for prompt cash payment at this facility.

Insurance Median
$120

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: $63 (35%)
Insurance Median: $120 (66%)
Cash: $63 (35% of Medicare)
Ins. Median: $120 (66% 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
Amish Aid $32 - $53 18%
Self Pay $32 - $120 18%
Php $33 - $88 18%
Lutheran Preferred $38 - $131 21%
Php Freedom Network $42 - $69 23%
Cigna $43 - $219 24%
Blue Cross Blue Shield $48 - $772 26%
Lutheran Network $60 - $376 33%
Three Rivers $60 - $99 33%
Aetna $61 - $185 34%
Encore Ppo $68 - $197 37%
Sagamore $69 - $118 38%
Multiplan $92 - $171 51%
First Health $100 - $164 55%
Prime Health Services $100 - $338 55%
Veterans Eval Services $102 56%
Align Network $106 - $175 58%
Frontpath Health Coalition $106 - $175 58%
Advantage Health Solutions $110 - $182 61%
Allied Benefit Systems $120 - $197 66%
Medical Mutual Of Ohio $133 - $219 73%
Parkview Healthplan Services $133 - $219 73%
Value Options $133 - $219 73%
UnitedHealthcare $166 - $188 92%
Humana $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%
Encore Work Comp In $338 186%
Work Comp $376 207%
Encore Kba Epo $451 249%
Encore Kba Ppo $563 310%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 702 Van Buren St., Fort Wayne, IN 46802
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals