CMS Price Transparency Data
Psychotherapy session (45 minutes)
Facility: Trinity Health Oakland Hospital
Billing Code: 90834 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90834
- Insurance Median: $172
- Cash Discount Price: $153
- vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Trinity Health Oakland Hospital is $172. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $153. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.95x the Medicare baseline. Located in 44405 Woodward Ave, Pontiac, MI.
Cash / Self-Pay
$153
Average discount available for prompt cash payment at this facility.
Insurance Median
$172
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: $153 (84%)
Insurance Median: $172 (95%)
Cash: $153 (84% of Medicare)
Ins. Median: $172 (95% 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 |
|---|---|---|
| Blue Cross Blue Shield | $54 - $84 | 30% |
| Wc Accident Fund | $72 | 40% |
| Wc Advantage | $72 | 40% |
| Wc Aig | $72 | 40% |
| Wc Allied | $72 | 40% |
| Wc Amerisure | $72 | 40% |
| Wc Amtrust | $72 | 40% |
| Wc Asu Risk Mgt | $72 | 40% |
| Wc Berkley Admin | $72 | 40% |
| Wc Broadspire | $72 | 40% |
| Wc Bunch & Associates | $72 | 40% |
| Wc Ccmsi | $72 | 40% |
| Wc Emc Insurance Company | $72 | 40% |
| Wc Esis | $72 | 40% |
| Wc Fcci | $72 | 40% |
| Wc Federated | $72 | 40% |
| Wc Gallagher Bassett | $72 | 40% |
| Wc Genex Care For Ohio | $72 | 40% |
| Wc Guard Insurance Company | $72 | 40% |
| Wc Hartford | $72 | 40% |
| Wc Liberty Mutual | $72 | 40% |
| Wc Meijers | $72 | 40% |
| Wc Michigan | $72 | 40% |
| Wc Mitchell Frankenmuth | $72 | 40% |
| Wc Pma | $72 | 40% |
| Wc Sedgwick | $72 | 40% |
| Wc Sentry | $72 | 40% |
| Wc Travelers | $72 | 40% |
| Wc Tristar | $72 | 40% |
| Wc Walmart | $72 | 40% |
| Wc Zurich | $72 | 40% |
| Aetna | $74 - $148 | 41% |
| Bcn Domestic | $84 | 46% |
| Blue Benefit Administrators Of Massachusetts | $84 | 46% |
| Blue Care Network | $84 | 46% |
| Blue Distinction Transplant | $84 | 46% |
| Blue Shield - Ca | $84 | 46% |
| Blue Shield - Id (Regence) | $84 | 46% |
| Blue Shield - Ny Highmark Northeastern | $84 | 46% |
| Blue Shield - Ny Highmark Western | $84 | 46% |
| Blue Shield - Pa (Highmark) | $84 | 46% |
| Blue Shield - Wa (Regence) | $84 | 46% |
| Health Choices | $84 - $173 | 46% |
| Kaiser Domestic | $84 | 46% |
| Acs Benefit Services | $104 | 57% |
| Allied Benefit Systems | $104 | 57% |
| Claimchoice Adminstrators | $104 | 57% |
| Consociate | $104 | 57% |
| Cypress Benefit Administrators | $104 | 57% |
| Forest County Potawatomi | $104 | 57% |
| Health Smart | $104 | 57% |
| Healthgram | $104 | 57% |
| Healthscope | $104 | 57% |
| Secureone Preferred United Plans | $104 | 57% |
| Sisco Benefits | $104 | 57% |
| The Health Plan | $104 | 57% |
| Trustmark Small Business Benefits | $104 | 57% |
| Unified Group Services | $104 | 57% |
| Webtpa | $104 | 57% |
| Mclaren Health | $113 - $124 | 62% |
| Carelon Behavioral Health | $118 | 65% |
| Magellan Behavioral Health | $142 | 78% |
| Geha | $148 - $177 | 82% |
| Medical Mutual | $148 | 82% |
| Meritain | $148 | 82% |
| 1199 National Benefit Fund | $160 | 88% |
| Allied National Global Care | $160 | 88% |
| Asrm - Reliance Standard Life Insurance | $160 | 88% |
| Christian Care Ministry | $160 | 88% |
| Dean Health | $160 | 88% |
| Fallon Health | $160 | 88% |
| Family Life Insurance Company | $160 | 88% |
| Ghc Scw | $160 | 88% |
| Group Pension Administrators | $160 | 88% |
| International Benefit Administrators | $160 | 88% |
| Lifetime Benefit Solutions | $160 | 88% |
| Manhattan Life | $160 | 88% |
| Medi Share | $160 | 88% |
| Multiplan | $160 | 88% |
| Mvp | $160 | 88% |
| Pai | $160 | 88% |
| Pan-American Life | $160 | 88% |
| Paramount Hmo | $160 | 88% |
| Phcs | $160 | 88% |
| Trinity Health Share | $160 | 88% |
| Hap | $172 - $200 | 95% |
| Health Partners | $172 | 95% |
| Tufts Health Plan | $172 | 95% |
| Access Health | $173 | 95% |
| Acclaim | $173 | 95% |
| Administrative Concepts | $173 | 95% |
| Allegeant | $173 | 95% |
| Ameriben | $173 | 95% |
| American Family | $173 | 95% |
| American Healthcare Alliance | $173 | 95% |
| American National | $173 | 95% |
| American Republic | $173 | 95% |
| Amerihealth | $173 | 95% |
| Aultcare | $173 | 95% |
| Automated Benefit Services | $173 | 95% |
| Auxiant | $173 | 95% |
| Benefit Administrative Systems,Llc | $173 | 95% |
| Boon Chapman | $173 | 95% |
| Cam Administrative Services | $173 | 95% |
| Christian Brother Services | $173 | 95% |
| Christian Brothers Holy Cross | $173 | 95% |
| Comprehensive Benefits | $173 | 95% |
| Continental Life Insurance | $173 | 95% |
| Custom Benefit Administrators | $173 | 95% |
| Employee Benefit Concepts | $173 | 95% |
| Employee Benefit Management | $173 | 95% |
| Enterprise Group Planning | $173 | 95% |
| Freedom Life Insurance Company | $173 | 95% |
| Group Administrators | $173 | 95% |
| Group Marketing Services | $173 | 95% |
| Guardian | $173 | 95% |
| Health America | $173 | 95% |
| Healthcare Management Admin | $173 | 95% |
| Healthez | $173 | 95% |
| Humana | $173 | 95% |
| Insight | $173 | 95% |
| Intercare | $173 | 95% |
| Jfp Benefit Management | $173 | 95% |
| Jp Farley Corporation | $173 | 95% |
| Key Benefit Administrator | $173 | 95% |
| Liberty Union Life Assurance Co | $173 | 95% |
| Lucent Health | $173 | 95% |
| Luminare Health | $173 | 95% |
| Luminare Health (Detroit) | $173 | 95% |
| Magnacare | $173 | 95% |
| Medben | $173 | 95% |
| Medcost | $173 | 95% |
| Mutual Health Services | $173 | 95% |
| Mutual Of Omaha | $173 | 95% |
| Ncas | $173 | 95% |
| Nippon Life Ins | $173 | 95% |
| Nova | $173 | 95% |
| Painters Union Insurance Fund | $173 | 95% |
| Physicians Mutual | $173 | 95% |
| Plumbers Local 98 Insurance Fund | $173 | 95% |
| Prairie States | $173 | 95% |
| Preferred One | $173 | 95% |
| Primary Physician Care | $173 | 95% |
| Professional Benefit Administrators | $173 | 95% |
| Siho Insurance Services | $173 | 95% |
| The Loomis Company | $173 | 95% |
| Unicare | $173 | 95% |
| Us Health And Life | $173 | 95% |
| Valenz | $173 | 95% |
| Western & Southern Financial Group | $173 | 95% |
| Wps | $173 | 95% |
| Cigna | $175 | 97% |
| UnitedHealthcare | $177 | 98% |
| Coventry | $178 | 98% |
| First Health | $178 | 98% |
| U Of M Health Plan | $184 | 101% |
| Prime Health Services | $189 | 104% |
| Asr Health Benefits | $200 | 110% |
| Caresource | $200 | 110% |
| Varipro | $200 | 110% |
| Priority Health | $212 - $236 | 117% |
| Three Rivers Provider Network | $212 | 117% |
| Cmh Detroit Wayne Integrated Health Network | $236 | 130% |
| Cmh Lenawee County | $236 | 130% |
| Cmh Livingston County | $236 | 130% |
| Cmh Misc | $236 | 130% |
| Cmh Monroe County | $236 | 130% |
| Cmh Oakland County | $236 | 130% |
| Cmh Washtenaw County | $236 | 130% |