CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Perry County Memorial Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $170
  • Cash Discount Price: $193
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Perry County Memorial Hospital is $170. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $193. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.94x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.
Cash / Self-Pay
$193

Average discount available for prompt cash payment at this facility.

Insurance Median
$170

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: $193 (106%)
Insurance Median: $170 (94%)
Cash: $193 (106% of Medicare)
Ins. Median: $170 (94% 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
Medicaid / KanCare $63 - $276 35%
Veterans Administration $69 - $276 38%
Bc 130 $72 - $221 40%
Group Insurance $72 - $276 40%
Medicare (plans) $72 40%
Workers Compensation $138 76%
Nsa $162 - $170 89%
Guarantor Liable $193 - $276 106%
Pcmh Insurnace $215 - $276 119%
Secondary Insurance $221 122%
UnitedHealthcare $221 122%
Operating Engineers $235 130%
Boilermakers Healthcare $240 132%
Cigna $240 132%
Great West $240 - $276 132%
Sagxxxx $240 132%
Champus $276 152%
Ngs American, Inc $276 152%
Patoka Valley $276 152%
Southwire $276 152%
Tricare $276 152%
Wausau Benefits $276 152%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8885 Sr 237, Tell City, IN 47586
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals