CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Dupont Hospital LLC

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $110
  • Cash Discount Price: $59
  • vs. Medicare Baseline: 0.61x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Dupont Hospital LLC is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.61x the Medicare baseline. Located in 2520 E Dupont Rd, Fort Wayne, IN.
Cash / Self-Pay
$59

Average discount available for prompt cash payment at this facility.

Insurance Median
$110

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: $59 (33%)
Insurance Median: $110 (61%)
Cash: $59 (33% of Medicare)
Ins. Median: $110 (61% 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 $32 - $85 18%
Amish Aid $36 - $59 20%
Self Pay $36 - $99 20%
Lutheran Preferred $40 - $376 22%
Cigna $43 - $80 24%
Php Freedom Network $44 - $73 24%
Aetna $49 - $185 27%
Encore Ppo $66 - $110 36%
Lutheran Network $66 - $110 36%
Medical Mutual Of Oh $70 - $116 39%
Sagamore $72 - $122 40%
Prime Health Services $100 - $338 55%
Veterans Eval Services $102 56%
Frontpath $106 - $175 58%
Encore Health Network $109 - $197 60%
Advantage Health Solutions $110 - $182 61%
Multiplan $114 - $197 63%
Allied Benefit Systems $120 - $197 66%
UnitedHealthcare $166 - $188 92%
Blue Cross Blue Shield $185 - $772 102%
Humana $185 102%
Medicare (plans) $185 102%
Node Mhs Mcr Adv $185 102%
Iu Health $188 104%
Node Devoted Health Mcr Adv $188 104%
Node Non Par Hospice 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%
Lutheran Preferred Fixed 2 $282 156%
Managed Health Services $282 - $376 156%
Align In Work Comp $300 165%
Encore Work Comp In $338 186%
In 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: 2520 E Dupont Rd, Fort Wayne, IN 46825
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals