CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Wyandotte Hospital and Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $92
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.51x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Wyandotte Hospital and Medical Center is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.51x the Medicare baseline. Located in 2333 Biddle Ave, Wyandotte, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$92

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%)
Insurance Median: $92 (51%)
Ins. Median: $92 (51% 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
Cofinity Group Health $22 - $43 12%
Mclaren Health $25 - $157 14%
Aetna $26 - $173 14%
Hap $27 - $157 15%
UnitedHealthcare $37 - $157 20%
Cigna $40 - $116 22%
Multiplan, Inc. $40 22%
Humana $42 - $118 23%
University Of Michigan $48 26%
Mclaren $49 27%
Meridian Health Plan Of Mi $49 - $60 27%
Priority Health $49 - $157 27%
Amerihealth Michigan $60 - $154 33%
Hap Caresource $60 - $157 33%
Mclaren Health Plan Inc. $60 - $105 33%
Meridian $60 - $105 33%
Molina $60 - $116 33%
Priority $63 - $105 35%
Beacon Health $81 - $106 45%
Pace Se Mi $88 - $100 49%
Bcn $92 - $157 51%
Blue Cross Blue Shield $92 - $157 51%
Cca Health Mi $92 - $105 51%
Health Alliance Plan Of Michigan $92 - $105 51%
Mount Carmel Health Plan $92 - $157 51%
United Behavioral Health, Inc. $92 - $105 51%
Wellcare Ma $92 51%
Vaccn $100 - $114 55%
Cofinity $114 63%
Vitalcore Physicians Group Of Mi $120 - $362 66%
Pace Of Se Mi $150 83%
Cca Health Michigan $157 87%
Erickson $157 87%
Molina Mi Health Link $157 87%
Wellcare $159 88%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2333 Biddle Ave, Wyandotte, MI 48192
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals