CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: University of Michigan Health - West

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $15
  • Cash Discount Price: $7
  • vs. Medicare Baseline: 0.08x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at University of Michigan Health - West is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.08x the Medicare baseline. Located in 5900 Byron Center Avenue, Sw, Wyoming, MI.
Cash / Self-Pay
$7

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $7 (4%)
Insurance Median: $15 (8%)
Cash: $7 (4% of Medicare)
Ins. Median: $15 (8% 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
Aetna $12 7%
Alliance Health & Life Ppo $12 7%
Asr Physicians $12 7%
Hap $12 7%
Golden Rule Ins $13 7%
Medica $13 7%
Student Ins/Mega Life $13 7%
UnitedHealthcare $13 7%
Humana $14 - $181 8%
Asr Cofinity $15 8%
Cofinity Commercial $15 8%
Cofinity Weyco $15 8%
Core Source $15 8%
Epoch Group $15 8%
Health Partners $15 8%
Hlthcomp Admin $15 8%
Mid America $15 8%
Medicaid / KanCare $97 53%
Molina Healthcare Of Mi $97 53%
Care Resources $163 90%
Insight Metro Care $181 100%
Medicare (plans) $181 100%
Molina Marketplace Commercial $181 100%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5900 Byron Center Avenue, Sw, Wyoming, MI 49519
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals