CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Lake Charles Memorial Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $135
  • Cash Discount Price: $147
  • vs. Medicare Baseline: 0.74x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Lake Charles Memorial Hospital is $135. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $147. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.74x the Medicare baseline. Located in 1701 Oak Park Blvd, Lake Charles, LA.
Cash / Self-Pay
$147

Average discount available for prompt cash payment at this facility.

Insurance Median
$135

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: $147 (81%)
Insurance Median: $135 (74%)
Cash: $147 (81% of Medicare)
Ins. Median: $135 (74% 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
Meritain $68 - $160 37%
Verity $72 - $171 40%
Ppo_Plus_ $90 - $214 50%
Phcs $105 - $249 58%
United_Healthcare $105 - $249 58%
United_Healthcare_Behavorial_Health $105 - $249 58%
Cigna $112 - $267 62%
Lwcc $115 - $272 63%
First_Health $120 - $285 66%
Aetna $132 - $268 73%
Blue Cross Blue Shield $132 73%
Champus_Va $132 73%
Medicare (plans) $132 73%
Tricare $132 73%
Veterans_Administration $132 73%
Veterans_Choice-Triwest $132 73%
Humana $135 - $268 74%
Workers_Compensation $135 - $320 74%
Coushatta_Tribe_Dept_Of_Health $238 131%
Blue_Cross_Blue_Shield_La $253 140%
Vantage_Commercial $268 148%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Oak Park Blvd, Lake Charles, LA 70601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals