CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Bluffton Regional Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $117
  • Cash Discount Price: $63
  • vs. Medicare Baseline: 0.65x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Bluffton Regional Medical Center is $117. 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 0.65x the Medicare baseline. Located in 303 S Main St, Bluffton, IN.
Cash / Self-Pay
$63

Average discount available for prompt cash payment at this facility.

Insurance Median
$117

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: $117 (65%)
Cash: $63 (35% of Medicare)
Ins. Median: $117 (65% 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%
Physicians Health Plan $32 - $53 18%
Self Pay $32 - $120 18%
Lutheran Preferred Network $40 - $282 22%
Cigna $42 - $78 23%
Php $42 - $70 23%
Php Freedom Network $42 - $69 23%
Aetna $48 - $185 26%
Php Management Systems $52 - $85 29%
Lutheran Trma $53 - $99 29%
UnitedHealthcare $62 - $188 34%
Encore Ppo $65 - $107 36%
Sagamore Sebt $68 - $112 37%
Sagamore Health Newtork Inc $71 - $117 39%
Consumer Life $82 - $136 45%
Ahg Dana Employees $86 - $142 47%
Align Networks $93 - $153 51%
Prime Health Services $100 - $338 55%
Private Healthcare Systems Inc $100 - $164 55%
Veterans Eval Services $102 56%
Multiplan $106 - $175 58%
Encore Health Network $109 - $197 60%
Advantage 360 $110 - $182 61%
Community Health Alliance $113 - $186 62%
First Health $114 - $188 63%
Allied Benefit Systems $120 - $197 66%
Cardinal Health Alliance $120 - $197 66%
Ppom $120 - $197 66%
Blue Cross Blue Shield $185 - $772 102%
Medicare (plans) $185 102%
Node Iu Health Mcr Adv $185 102%
Node Mhs Mcr Adv $185 102%
Humana $188 104%
Node Caresource Mcr Adv $188 104%
Node Devoted Health Mcr Adv $188 104%
Node Non Par Hospice Agree $188 104%
Node Va $188 104%
Northeast Hospice $188 104%
County Jail Health Care $195 108%
In Dept Of Correction $195 108%
Node Pphp Mcr Adv $197 109%
Us Department Of Labor $235 130%
Lutheran Advanced Network $282 156%
Lutheran Three Rivers Preferred Plus 150 $282 156%
Lutheran Three Rivers Preferred Plus 175 $329 181%
Encore Work Comp In $338 186%
Lutheran Northwest Health Preferred $376 207%
Managed Health Services Exchange $376 207%
Workers Compensation $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: 303 S Main St, Bluffton, IN 46714
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals