CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Mercy Health Saint Mary's

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $113
  • Cash Discount Price: $114
  • vs. Medicare Baseline: 0.62x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Mercy Health Saint Mary's is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $114. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.62x the Medicare baseline. Located in 200 Jefferson Avenue Se, Grand Rapids, MI.
Cash / Self-Pay
$114

Average discount available for prompt cash payment at this facility.

Insurance Median
$113

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: $114 (63%)
Insurance Median: $113 (62%)
Cash: $114 (63% of Medicare)
Ins. Median: $113 (62% 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

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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 $62 - $181 34%
Aetna $65 - $165 36%
Albany County Correctional Facility $65 36%
Ambetter / Centene $65 36%
Amish Mennonite $65 36%
Ascension St. Vincent Public Safety Medical $65 36%
Bccp $65 36%
Blue Cross Blue Shield $65 - $115 36%
Bmc Healthnet $65 36%
Breast Grant-Connecticut $65 36%
Broward County Dept Of Health $65 36%
California Health And Wellness $65 36%
Cardinal Innovations Lme $65 36%
Care Connections Of Northern Iowa $65 36%
Care Oregon Ohp $65 36%
Cencal Health Plan $65 36%
Cenpatico $65 36%
Chhuny $65 36%
Childrens Comm Health Plan $65 36%
Childrens Medical Services Title 19 $65 36%
Cigna $65 - $145 36%
City Of Philadelphia $65 36%
Cmh Allegan County $65 - $199 36%
Cmh Ausable Valley $65 - $199 36%
Cmh Barry County $65 - $199 36%
Cmh Bay-Arenac County $65 36%
Cmh Berrien County $65 - $199 36%
Cmh Cass County $65 - $199 36%
Cmh Central Mi County $65 36%
Cmh Clinton-Eaton-Ingham County $65 - $199 36%
Cmh Detroit Wayne Integrated Health Network $65 36%
Cmh Genesee County $65 36%
Cmh Ionia County $65 36%
Cmh Jackson County/Lifeways $65 36%
Cmh Kalamazoo $65 - $199 36%
Cmh Kent County $65 - $199 36%
Cmh Lenawee County $65 - $199 36%
Cmh Livingston County $65 36%
Cmh Macomb $65 36%
Cmh Misc $65 - $199 36%
Cmh Monroe County $65 - $199 36%
Cmh Montcalm County $65 - $199 36%
Cmh Muskegon County $65 - $199 36%
Cmh Newaygo County $65 - $199 36%
Cmh North Country $65 - $199 36%
Cmh Northern Lakes County $65 - $199 36%
Cmh Oakland County $65 36%
Cmh Ottawa County $65 - $199 36%
Cmh Van Buren County $65 - $199 36%
Cmh Washtenaw County $65 36%
Cmh Wayne County/Carelink $65 36%
Cmh Wayne Cty/Com Liv Svcs $65 36%
Cmh West Mi County $65 - $199 36%
Community Benefit Health $65 36%
Community Care Behavorial Health $65 36%
Community Care Partners $65 36%
Community Health Choice $65 36%
Connections Csp $65 36%
County Coroner $65 36%
County Funding Generic $65 36%
Covid19 Hrsa Uninsured Testing And Treatment Fund $65 36%
Dean Wi Badgercare $65 36%
Delaware County Department Of Health $65 36%
Delaware First Health $65 36%
Delta Dental Nj $65 36%
Dph Tb Program $65 36%
Dscc $65 36%
Eastpointe Lme $65 36%
Family Health Network $65 36%
Freedom First Healthcare $65 36%
Fresno County Ccs $65 36%
Ghc Scw Wi Badgercare $65 36%
Harbor Health $65 36%
Health Safety Net $65 36%
Healthy Blue Ne $65 36%
Hennepin Health $65 36%
Humana $65 - $199 36%
Id County Ada $65 36%
Id County Canyon $65 36%
Id County Cat Fund $65 36%
Id County Other $65 36%
Id County Payette $65 36%
Idaho Dept Health And Wellfare $65 36%
Idaho Womens Health Check $65 36%
Indiana Breast Cervical Cancer $65 36%
Inland Empire Health Plan $65 36%
Intercommunity Health Ohp $65 36%
Iowa Total Care $65 36%
Jai Medical System $65 36%
Kern Family Health Plan $65 36%
Keystone First $65 36%
Keystone First Chip $65 36%
La Care Health Plan $65 36%
Lakeland Care Inc $65 36%
Managed Health Services - Indiana $65 36%
Maryland Breast & Cervical Program $65 36%
Maryland Healthy Smiles - Scion Dental $65 36%
Maryland Physicians Care $65 36%
Massachusetts Behavioral Health Partnership $65 36%
Mdwise $65 36%
Medi-Cal $65 36%
Medi-Cal Healthnet $65 36%
Medstar Dc Healthy Family $65 36%
Medstar Md Health Choice $65 36%
Mo Home State Health Plan $65 36%
Molina Centennial Care $65 36%
Nascentia Health Options $65 36%
Nebraska Total Care $65 36%
New York Cancer Services Program $65 36%
Nextlevel Health $65 36%
Oregon Screenwise $65 36%
Pace Of Southwest Michigan $65 - $82 36%
Paramount Advantage $65 36%
Parkland Community Health Plan $65 36%
Partners Behavioral Lme $65 36%
Peach State Healthplan $65 36%
Philadelphia County Funding $65 36%
Presbyterian Centennial Care $65 36%
Prestige Health Choice $65 36%
Priority Partners $65 36%
Robert F Sing Program $65 36%
Rx 340B Pass Along $65 36%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $65 36%
Rx Medi-Cal $65 36%
Rx Meridian Rx $65 36%
Ryan White Florida Mssrp $65 36%
Sandhills Center Lme $65 36%
Screening For Life $65 36%
St Joseph County Hlth Dpt $65 36%
Stephenson Cty Health $65 36%
Sunshine State Health Plan $65 36%
Superior Health $65 36%
Tenncare $65 36%
Texas Children'S Health Plan $65 36%
Trillium Community Ohp $65 36%
Tufts Health Public Plans $65 36%
UnitedHealthcare $65 - $199 36%
Vaya Health Lme $65 36%
Washtenaw Health Plan $65 36%
Wellsense Health Plan $65 36%
Wi Womens Wellness $65 36%
Bcn Domestic $73 - $96 40%
Blue Benefit Administrators Of Massachusetts $73 - $115 40%
Blue Care Network $73 - $103 40%
Blue Distinction Transplant $73 - $115 40%
Blue Shield - Ca $73 - $115 40%
Blue Shield - Id (Regence) $73 - $115 40%
Blue Shield - Ny Highmark Northeastern $73 - $115 40%
Blue Shield - Ny Highmark Western $73 - $115 40%
Blue Shield - Pa (Highmark) $73 - $115 40%
Blue Shield - Wa (Regence) $73 - $115 40%
Health Choices $73 - $151 40%
Kaiser Domestic $73 - $96 40%
Champva $75 41%
Tricare $75 41%
Triwest Health Alliance $75 41%
Us Family Health Plan $75 41%
Veterans Eval Services $75 41%
American Postal Workers Secondary $79 44%
Ally Align Care Adv $82 45%
American Health Advantage Of Idaho $82 45%
American Health Plan $82 45%
Aurora Special Needs $82 45%
Blue Care Network Advantage $82 45%
Blue Shield - De (Highmark) Medciare Advantage $82 45%
Care Dimensions $82 45%
Care Improvement Plus $82 45%
Care Resources Pace $82 45%
Careplus Health Plans $82 45%
Cca Senior Care Options $82 45%
Central Valley Medical Services Corp Pace $82 45%
Champion Health Plan Mcr Advantage $82 45%
Clear Spring Health $82 45%
Clover Health $82 45%
Commonwealth Care Alliance $82 45%
Community Pace At Home $82 45%
Eddy Senior Care-Pace $82 45%
Eddy Seniorcare Pace $82 45%
Elementcare $82 45%
Evercare $82 45%
Everence $82 45%
Gateway Health Plan $82 45%
Genesys Pace Of Genesee County $82 45%
Georgia Health Advantage $82 45%
Gold Advantage $82 45%
Gpa Croell Redi Mix $82 45%
Health America Advantra $82 45%
Highmark Health Options Dual Plan $82 45%
Hope Select Pace $82 45%
Horizon Nj Total Care $82 45%
Hudson Headwaters Pace $82 45%
Huron Valley Pace $82 45%
Innovative Integrated Health Community Plans $82 45%
Iowa Health Advantage $82 45%
Johns Hopkins Advantage Md $82 45%
Lasso Healthcare Msa $82 45%
Life St Marys Pace $82 45%
Lifecircles Pace $82 45%
Longevity Health Plan $82 45%
Martins Point Generations Advantage $82 45%
Mass General Brigham Mcr Adv $82 45%
Medicare (plans) $82 - $93 45%
Medipak Advantage $82 45%
Mercy Life $82 45%
Mercyone Cedar Valley $82 45%
Meridian Complete $82 45%
Michigan Complete Health $82 45%
Nascentia Health Plus $82 45%
New Centry Health Careplus $82 45%
Osu Prime Care Advantage $82 45%
Pace Cny $82 45%
Pace Iowa Immanuel Pathways $82 45%
Pace Southeast $82 45%
Pace-Trinity Health $82 45%
Peak Pace Solutions $82 45%
Perennial Advantage $82 45%
Preferred Care Partners $82 45%
Presbyterian Senior Plan $82 45%
Provider Partners Health Plan Of Illinois $82 45%
Provider Partners Health Plan Of Indiana $82 45%
Pruitthealth Premier $82 45%
Reliance Community Care Partners Care Resources Pace $82 45%
Rx Allwin $82 45%
Rx Grane Grnmedd $82 45%
Rx Retiree Rx Care $82 45%
Scan Health Plan Mcr Ipa Meritage Oon $82 45%
Secure Horizons Ma Pffs $82 45%
Serenity Pace $82 45%
Siouxland Pace $82 45%
Solis Health Plans $82 45%
Sunnyview-Pace Finance Dept $82 45%
Texan Plus $82 45%
The Health Plan $82 - $114 45%
Thome Pace $82 45%
Todays Options $82 45%
Tribute Health Plans $82 45%
Um Health Advantage $82 45%
Union Health Service $82 45%
Wc Accident Fund $82 - $128 45%
Wc Advantage $82 - $128 45%
Wc Aig $82 - $128 45%
Wc Allied $82 - $128 45%
Wc Amerisure $82 - $128 45%
Wc Amtrust $82 - $128 45%
Wc Asu Risk Mgt $82 - $128 45%
Wc Berkley Admin $82 - $128 45%
Wc Broadspire $82 - $128 45%
Wc Bunch & Associates $82 - $128 45%
Wc Ccmsi $82 - $128 45%
Wc Emc Insurance Company $82 - $128 45%
Wc Esis $82 - $128 45%
Wc Fcci $82 - $128 45%
Wc Federated $82 - $128 45%
Wc Gallagher Bassett $82 - $128 45%
Wc Genex Care For Ohio $82 - $128 45%
Wc Guard Insurance Company $82 - $128 45%
Wc Hartford $82 - $128 45%
Wc Liberty Mutual $82 - $128 45%
Wc Meijers $82 - $128 45%
Wc Michigan $82 - $128 45%
Wc Mitchell Frankenmuth $82 - $128 45%
Wc Pma $82 - $128 45%
Wc Sedgwick $82 - $128 45%
Wc Sentry $82 - $128 45%
Wc Travelers $82 - $128 45%
Wc Tristar $82 - $128 45%
Wc Walmart $82 - $128 45%
Wc Zurich $82 - $128 45%
Welbe Health $82 45%
Wellmed $82 45%
Align Senior Care $84 46%
Priority Health $84 - $359 46%
Veterans Administration $84 46%
Hap $85 - $154 47%
Health Partners $85 47%
Nomi Health $85 - $130 47%
Tufts Health Plan $85 47%
Acs Benefit Services $87 - $114 48%
Allied Benefit Systems $87 - $114 48%
Claimchoice Adminstrators $87 - $114 48%
Consociate $87 - $114 48%
Cypress Benefit Administrators $87 - $114 48%
Forest County Potawatomi $87 - $114 48%
Health Smart $87 - $114 48%
Healthgram $87 - $114 48%
Healthscope $87 - $114 48%
Secureone Preferred United Plans $87 - $114 48%
Sisco Benefits $87 - $114 48%
Trustmark Small Business Benefits $87 - $114 48%
Unified Group Services $87 - $114 48%
Webtpa $87 - $114 48%
Asr Health Benefits $88 - $127 49%
Cca - Zing Health $90 50%
Access Health $94 52%
Longevity Ipa Of Michigan Llc Health Plan Isnp $94 52%
Geha $95 - $151 52%
Medical Mutual $95 - $125 52%
Meritain $95 - $165 52%
Preferred One $95 - $125 52%
Varipro $98 - $129 54%
Caresource $99 - $130 55%
Us Health And Life $99 - $151 55%
1199 National Benefit Fund $110 - $145 61%
Allied National Global Care $110 - $145 61%
Asrm - Reliance Standard Life Insurance $110 - $145 61%
Christian Care Ministry $110 - $145 61%
Dean Health $110 - $145 61%
Fallon Health $110 - $145 61%
Family Life Insurance Company $110 - $145 61%
Ghc Scw $110 - $145 61%
Group Pension Administrators $110 - $145 61%
International Benefit Administrators $110 - $145 61%
Lifetime Benefit Solutions $110 - $145 61%
Manhattan Life $110 - $145 61%
Medi Share $110 - $145 61%
Multiplan $110 - $145 61%
Mvp $110 - $145 61%
Pai $110 - $145 61%
Pan-American Life $110 - $145 61%
Paramount Hmo $110 - $145 61%
Phcs $110 - $145 61%
Trinity Health Share $110 - $145 61%
Acclaim $113 - $151 62%
Administrative Concepts $113 - $151 62%
Allegeant $113 - $151 62%
Ameriben $113 - $151 62%
American Family $113 - $151 62%
American Healthcare Alliance $113 - $151 62%
American National $113 62%
American Republic $113 - $151 62%
Amerihealth $113 - $151 62%
Aultcare $113 - $151 62%
Automated Benefit Services $113 - $151 62%
Auxiant $113 - $151 62%
Benefit Administrative Systems,Llc $113 - $151 62%
Boon Chapman $113 - $151 62%
Cam Administrative Services $113 - $151 62%
Christian Brother Services $113 - $151 62%
Christian Brothers Holy Cross $113 - $151 62%
Comprehensive Benefits $113 - $151 62%
Continental Life Insurance $113 - $151 62%
Coventry $113 - $158 62%
Custom Benefit Administrators $113 - $151 62%
Employee Benefit Concepts $113 - $151 62%
Employee Benefit Management $113 - $151 62%
Enterprise Group Planning $113 - $151 62%
First Health $113 - $158 62%
Freedom Life Insurance Company $113 - $151 62%
Group Administrators $113 - $151 62%
Group Marketing Services $113 - $151 62%
Guardian $113 - $151 62%
Health America $113 - $151 62%
Healthcare Management Admin $113 62%
Healthez $113 - $151 62%
Insight $113 - $151 62%
Jfp Benefit Management $113 - $151 62%
Jp Farley Corporation $113 - $151 62%
Key Benefit Administrator $113 - $151 62%
Liberty Union Life Assurance Co $113 - $151 62%
Lucent Health $113 - $151 62%
Luminare Health $113 - $151 62%
Luminare Health (Detroit) $113 - $151 62%
Magnacare $113 62%
Medben $113 - $151 62%
Medcost $113 - $151 62%
Molina Marketplace $113 62%
Mutual Health Services $113 - $151 62%
Mutual Of Omaha $113 - $151 62%
Ncas $113 - $151 62%
Nippon Life Ins $113 - $151 62%
Nova $113 - $151 62%
Oscar $113 62%
Painters Union Insurance Fund $113 - $151 62%
Physicians Mutual $113 - $151 62%
Plumbers Local 98 Insurance Fund $113 - $151 62%
Prairie States $113 - $151 62%
Primary Physician Care $113 - $151 62%
Professional Benefit Administrators $113 - $151 62%
Siho Insurance Services $113 62%
The Loomis Company $113 - $151 62%
Unicare $113 - $151 62%
Valenz $113 - $151 62%
Wellpath $113 62%
Western & Southern Financial Group $113 - $151 62%
Wps $113 - $151 62%
Intercare $115 - $194 63%
U Of M Health Plan $115 - $184 63%
Partners Direct Health - Brio $121 67%
Claimdoc $130 72%
Kent County Jail $130 72%
Muskegon County Jail $130 72%
Andrie Inc $134 74%
East Greenbush Central School District $134 74%
Genex Wc $134 74%
Healthsmart Workers Comp $134 74%
Jag Source $134 74%
New York State Insurance Fund $134 74%
Njm Insurance Group $134 74%
Rx Heatlhcomp $134 74%
Rx Restat $134 74%
Rx Saif Opdp Wc $134 74%
Rx Worker'S Comp $134 74%
Wc Ace $134 74%
Wc Acs Federal Employees $134 74%
Wc Acuity $134 74%
Wc Aegis $134 74%
Wc Aims $134 74%
Wc Alaska National Ins $134 74%
Wc Align Network $134 74%
Wc Am Trust N America $134 74%
Wc American Claims Mgmt $134 74%
Wc Benetech $134 74%
Wc Broward County $134 74%
Wc California State Comp Ins $134 74%
Wc California State Ins Fund $134 74%
Wc Capitol Area Health Consortium $134 74%
Wc Chartis $134 74%
Wc Chubb $134 74%
Wc Cirma $134 74%
Wc City Of Albany $134 74%
Wc City Of Sioux City $134 74%
Wc Claims Mgmt Inc $134 74%
Wc Cna $134 74%
Wc Comp One Admin C/O Manageability $134 74%
Wc Compone Admin $134 74%
Wc Corvel $134 74%
Wc Ct Healthcare Trust $134 74%
Wc Donegal Insurance Group $134 74%
Wc Employee Mutual $134 74%
Wc Enablecomp $134 74%
Wc Encore Health Network $134 74%
Wc Erie $134 74%
Wc Evolutions $134 74%
Wc Fed Ex $134 74%
Wc Federal Black Lung $134 74%
Wc Finley Occupational Health $134 74%
Wc First Agency/Occunet $134 74%
Wc Ford Motor $134 74%
Wc Fresno Unified Emp $134 74%
Wc General Motors $134 74%
Wc Generic $134 74%
Wc Great West Casualty $134 74%
Wc Guarantee Insurance $134 74%
Wc Hab $134 74%
Wc Hastings $134 74%
Wc Health Management $134 74%
Wc Heritage Summit $134 74%
Wc Hireright $134 74%
Wc Horizon $134 74%
Wc Icw Group $134 74%
Wc Idaho State Ins Fund $134 74%
Wc Intercare Insurance $134 74%
Wc Intermountain $134 74%
Wc Johns Eastern $134 74%
Wc Kemberton $134 74%
Wc Key Ins & Benefit Solutions $134 74%
Wc Mac Risk Management $134 74%
Wc Massachusetts $134 74%
Wc Mdia $134 74%
Wc Meadowbrook Claim $134 74%
Wc Medical Administrators $134 74%
Wc Memic $134 74%
Wc Mercy Workcare $134 74%
Wc Michigan Millers Mutual $134 74%
Wc Mra $134 74%
Wc Nationwide $134 74%
Wc Nca Comp $134 74%
Wc New York $134 74%
Wc New York Special Funds $134 74%
Wc North American Rishces $134 74%
Wc Northeast Health $134 74%
Wc Notre Dame $134 74%
Wc Novanet $134 74%
Wc O'Hara Corp $134 74%
Wc Occ Health Allen $134 74%
Wc Ohio Bureau $134 74%
Wc One Call Medical $134 74%
Wc Paradigm $134 74%
Wc Peerless $134 74%
Wc Praxis Health Network $134 74%
Wc Price Chopper $134 74%
Wc Procura Management $134 74%
Wc Qualcare $134 74%
Wc Quiktrip $134 74%
Wc Reny Company $134 74%
Wc Rev Claims $134 74%
Wc Risico $134 74%
Wc Rural Mutual $134 74%
Wc Saif Oregon $134 74%
Wc Secura $134 74%
Wc Sheakley Unicomp $134 74%
Wc Smile Lodge $134 74%
Wc Society $134 74%
Wc Srs $134 74%
Wc Taconic (Mro) $134 74%
Wc Taconic Farms $134 74%
Wc Triad Group $134 74%
Wc Troy Ny $134 74%
Wc Tyson $134 74%
Wc Unified Health Services $134 74%
Wc United Heartland $134 74%
Wc Us Dept Of Labor $134 74%
Wc Velocity $134 74%
Wc West Bend $134 74%
Wc West Bend Mutual/Argent $134 74%
Wc Winnebago Industries $134 74%
Wc Yankee Trails $134 74%
Wc York Risk $134 74%
Wc Zenith $134 74%
Magellan Behavioral Health $151 - $199 83%
Bcccp-Michigan $194 107%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Jefferson Avenue Se, Grand Rapids, MI 49503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals