CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Mercy Health Saint Mary's

Billing Code: 90834 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$105
about 0.6× the $181 Medicare rate · typically $68–$120
modeled estimate · not a bill or quote
What this hospital charges insurers
$82
Below the fair price — a good deal
about $23 under the fair price · 0.5× Medicare
Medicare pays $181 Fair price $105 This hospital $82 Cash price $114 Hospital's list price $194

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

A typical price — 2 charge more and 5 charge less, among the 9 MI hospitals compared.

Cheapest $65 Priciest $92

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

A fair price for a Psychotherapy session (45 minutes) is about $105 (about 0.6× the $181 Medicare rate). Mercy Health Saint Mary's charges insurers about $82, or about $114 in cash — below the fair price — a good deal. Located in Grand Rapids, MI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $65 - $199 36%
Blue Cross Blue Shieldmajor $65 - $115 36%
Aetnamajor $65 - $165 36%
Cignamajor $65 - $145 36%
Humanamajor $65 - $199 36%
Kaiser Permanentemajor $73 - $96 40%
Ambetter (Centene) $65 36%
AmeriHealth $113 - $151 62%
CareSource $99 - $130 55%
Clover Health $82 45%
Dean Health Plan $110 - $145 61%
GEHA $95 - $151 52%
Health Net $65 - $134 36%
HealthPartners $65 - $85 36%
MagnaCare $113 62%
Medical Mutual $95 - $125 52%
Meridian $65 - $82 36%
Molina $65 - $113 36%
MVP Health Care $110 - $145 61%
Oscar Health $113 62%
Paramount $65 - $145 36%
Presbyterian $65 - $82 36%
Priority Health $84 - $359 46%
Tufts Health Plan $65 - $85 36%
UniCare $113 - $151 62%
WellMed $82 45%
WellSense $65 36%
+ 425 smaller / regional plans $65 - $199
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 16 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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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