CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Ochsner Medical Center Acute

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $148
Cash Discount Price: $49
vs. Medicare Baseline: 0.82x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Ochsner Medical Center Acute is $148. 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 0.82x the Medicare baseline. Located in 1516 Jefferson Hwy, New Orleans, LA.

Cash / Self-Pay

$49

Average discount available for prompt cash payment at this facility.

Insurance Median

$148

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: $148 (82%)

Cash: $49 (27% of Medicare)

Ins. Median: $148 (82% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Tricare	$58 - $148	32%
Aetna	$88 - $145	49%
Blue Cross Blue Shield	$88 - $148	49%
UnitedHealthcare	$110 - $275	61%
Medicaid / KanCare	$118 - $124	65%
First Health Network	$132 - $201	73%
Louisiana Workers' Compensation Corporation (Lwcc)	$132 - $201	73%
Mississippi Physicians Care Network	$132 - $201	73%
Healthcomp & Personify Health (Formerly Gilsbar)	$139 - $212	77%
Claritev D/B/A Multiplan/Phcs/American Life Care	$141 - $214	78%
Zelis	$141 - $214	78%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$148	82%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$148	82%
Humana	$148	82%
Medicare (plans)	$148	82%
Ochsner Health Plan	$148	82%
Employers Health Network (Ehn)	$150 - $228	83%
Prime Health Services Ppo	$150 - $228	83%
Usa Managed Care Network	$150 - $228	83%
Behavioral Health Systems	$158 - $241	87%
Evolutions Healthcare	$158 - $241	87%
Galaxy Health Network Ppo	$158 - $241	87%
Galaxy Health Network Wc	$158 - $241	87%
Pace New Orleans	$162	89%
Cigna	$175	97%
Christus Health Exchange Plan	$247	136%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $49.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90834.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Medical Center Acute is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90834.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.