CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Kosciusko Community Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $114
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 0.63x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Kosciusko Community Hospital is $114. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.63x the Medicare baseline. Located in 2101 E Dubois Dr, Warsaw, IN.
Cash / Self-Pay
$49

Average discount available for prompt cash payment at this facility.

Insurance Median
$114

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: $49 (27%)
Insurance Median: $114 (63%)
Cash: $49 (27% of Medicare)
Ins. Median: $114 (63% 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 $28 - $46 15%
Self Pay $28 - $85 15%
Lutheran Preferred Network $42 - $175 23%
Physicians Health Plan $49 - $101 27%
Php Freedom Network $51 - $85 28%
UnitedHealthcare $52 - $201 29%
Encore $53 - $88 29%
Trma Inc $53 - $99 29%
Aetna $55 - $198 30%
Connecticut General Life Insurance Company $78 - $129 43%
Cigna $84 - $138 46%
One Call Care Diagnostics Wc $91 50%
First Health Network $100 - $164 55%
Prime Health Services $100 - $362 55%
Veterans Eval Services $102 56%
Advantage Health $110 - $182 61%
Private Healthcare Systems $114 - $188 63%
Sagamore $117 - $206 65%
Encore Health Network $124 - $204 68%
Blue Cross Blue Shield $198 - $772 109%
Humana $198 109%
Medicare (plans) $198 109%
Mhs $198 109%
Iu Health $201 111%
Node Non Par Hospice Agree $201 111%
Node Va $201 111%
Node Devoted Health Mcr Adv $202 111%
In Dept Of Correction $209 115%
Node Pphp Mcr Adv $211 116%
Us Department Of Labor $251 138%
Lutheran Advanced Network $302 167%
Lutheran Preferred $302 - $402 167%
Align In Work Comp $322 178%
One Call Work Comp $322 178%
Encore Work Comp In $362 200%
Managed Health Services Exchange $402 222%
Workers Comp $402 222%
Encore Kba Epo $483 266%
Encore Kba Ppo $603 333%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2101 E Dubois Dr, Warsaw, IN 46580
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals