CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Glenwood Regional Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $152
Cash Discount Price: $217
vs. Medicare Baseline: 0.84x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Glenwood Regional Medical Center is $152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $217. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.84x the Medicare baseline. Located in 503 McMillan Road, West Monroe, LA.

Cash / Self-Pay

$217

Average discount available for prompt cash payment at this facility.

Insurance Median

$152

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: $217 (120%)

Insurance Median: $152 (84%)

Cash: $217 (120% of Medicare)

Ins. Median: $152 (84% 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
Medicaid / KanCare	$18	10%
UnitedHealthcare	$18 - $327	10%
Self Pay Emergent	$33	18%
Coventry Healthcare	$94 - $96	52%
Dignity Care Health Plan	$109 - $146	60%
Ppo Plus	$113 - $152	62%
Verity Healthnet Inc	$124	68%
Humana	$128	71%
Cigna	$129	71%
Medicare (plans)	$133 - $146	73%
Caresact	$135	74%
Hospice	$135	74%
Patients Choice Hospice	$135	74%
Tricare	$135	74%
Aetna	$141	78%
Iasis Employees	$146	81%
Gilsbar 360 Alliance	$152	84%
Three Rivers Provider Network	$184	101%
Verity Healthnet	$184	101%
Galaxy Health Network	$195	108%
Blue Cross Blue Shield	$217	120%
Commercial Non-Contracted	$217	120%
Medsolutions	$217	120%
Mhnet	$217	120%
Self Pay - Mcd Pending 100 Percent	$217	120%
Single Case Agreement	$217	120%
Insyss	$225	124%
Ford Beacon Davis	$265	146%
Texas Workers Compensation	$269	148%
Vantage Health Plan	$389	215%

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 $217.
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 Glenwood Regional Medical Center 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.