CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Holland Community Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $118
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 0.65x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Holland Community Hospital is $118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.65x the Medicare baseline. Located in 602 Michigan Ave, Holland, MI.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$118

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: $84 (46%)
Insurance Median: $118 (65%)
Cash: $84 (46% of Medicare)
Ins. Median: $118 (65% 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
Molina Mcaid - All Plans $18 - $96 10%
Ph Mcaid $18 - $96 10%
Nomi Health - All Plans $30 - $165 17%
Aetna $38 - $240 21%
Cofinity -All Plans $38 - $210 21%
Multiplan - All Plans $48 - $261 26%
Benefit Source Inc-All Plans $50 - $270 28%
First Health-All Plans $50 - $270 28%
UnitedHealthcare $50 - $135 28%
Usa Managed Care-All Plans $50 - $270 28%
Integrated Health Plans-All Plans $52 - $285 29%
Meridian Mcaid Profee Only-All Plans $69 38%
Life Circles-All Plans $87 - $168 48%
Health Alliance Mcr Adv $91 - $177 50%
Ph Mcr Adv $91 - $177 50%
Va Ccn - All Plans $91 - $177 50%
Sisco Epi $93 51%
Sisco-All Other Plans $93 - $130 51%
Longevity Health Plan-All Plans $99 - $191 55%
Cigna $104 - $218 57%
Priority Health - All Other Plans $117 - $241 65%
Blue Cross Blue Shield $118 65%
Lifesynch Bh Comm - All Other Plans $120 66%
Lifesynch Bh Mcr $120 66%
Blue Care Network - All Plans $126 - $225 69%
Asr - All Plans $144 - $419 79%
Health Alliance Ahl - All Other Plans $144 - $419 79%
Health Alliance Hmo $144 - $401 79%
United Behav Hlth Mcr $264 146%
United Behav Hlth - All Other Plans $301 166%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 602 Michigan Ave, Holland, MI 49423
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals