CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Mercy Health Lakeshore Campus

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $115
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.63x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Mercy Health Lakeshore Campus is $115. 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 0.63x the Medicare baseline. Located in 72 South State Street, Shelby, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$115

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: $115 (63%)
Ins. Median: $115 (63% 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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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
Champva $75 - $100 41%
Tricare $75 - $100 41%
Triwest Health Alliance $75 - $100 41%
Us Family Health Plan $75 - $100 41%
Veterans Eval Services $75 - $100 41%
Aetna $76 - $165 42%
Albany County Correctional Facility $76 42%
Ambetter / Centene $76 42%
Amish Mennonite $76 42%
Ascension St. Vincent Public Safety Medical $76 42%
Bccp $76 42%
Blue Cross Blue Shield $76 - $135 42%
Bmc Healthnet $76 42%
Breast Grant-Connecticut $76 42%
Broward County Dept Of Health $76 42%
California Health And Wellness $76 42%
Can Community Health Inc $76 42%
Cardinal Innovations Lme $76 42%
Care Connections Of Northern Iowa $76 42%
Care Oregon Ohp $76 42%
Cencal Health Plan $76 42%
Cenpatico $76 42%
Chhuny $76 42%
Childrens Comm Health Plan $76 42%
Childrens Medical Services Title 19 $76 42%
Cigna $76 - $114 42%
City Of Philadelphia $76 42%
Cmh Allegan County $76 42%
Cmh Ausable Valley $76 42%
Cmh Barry County $76 42%
Cmh Bay-Arenac County $76 42%
Cmh Berrien County $76 42%
Cmh Cass County $76 42%
Cmh Central Mi County $76 42%
Cmh Clinton-Eaton-Ingham County $76 42%
Cmh Detroit Wayne Integrated Health Network $76 42%
Cmh Genesee County $76 42%
Cmh Ionia County $76 42%
Cmh Jackson County/Lifeways $76 42%
Cmh Kalamazoo $76 42%
Cmh Kent County $76 42%
Cmh Lenawee County $76 42%
Cmh Livingston County $76 42%
Cmh Macomb $76 42%
Cmh Misc $76 42%
Cmh Monroe County $76 42%
Cmh Montcalm County $76 42%
Cmh Muskegon County $76 42%
Cmh Newaygo County $76 42%
Cmh North Country $76 42%
Cmh Northern Lakes County $76 42%
Cmh Oakland County $76 42%
Cmh Ottawa County $76 42%
Cmh Van Buren County $76 42%
Cmh Washtenaw County $76 42%
Cmh Wayne County/Carelink $76 42%
Cmh Wayne Cty/Com Liv Svcs $76 42%
Cmh West Mi County $76 42%
Community Benefit Health $76 42%
Community Care Behavorial Health $76 42%
Community Care Partners $76 42%
Community Health Choice $76 42%
Connections Csp $76 42%
County Coroner $76 42%
County Funding Generic $76 42%
Covid19 Hrsa Uninsured Testing And Treatment Fund $76 42%
Dean Wi Badgercare $76 42%
Delaware County Department Of Health $76 42%
Delaware First Health $76 42%
Delta Dental Nj $76 42%
Dph Tb Program $76 42%
Dscc $76 42%
Eastpointe Lme $76 42%
Family Health Network $76 42%
Freedom First Healthcare $76 42%
Fresno County Ccs $76 42%
Ghc Scw Wi Badgercare $76 42%
Harbor Health $76 42%
Health Safety Net $76 42%
Healthy Blue Ne $76 42%
Hennepin Health $76 42%
Humana $76 - $132 42%
Id County Ada $76 42%
Id County Canyon $76 42%
Id County Cat Fund $76 42%
Id County Other $76 42%
Id County Payette $76 42%
Idaho Dept Health And Wellfare $76 42%
Idaho Womens Health Check $76 42%
Indiana Breast Cervical Cancer $76 42%
Inland Empire Health Plan $76 42%
Intercommunity Health Ohp $76 42%
Iowa Total Care $76 42%
Jai Medical System $76 42%
Kern Family Health Plan $76 42%
Keystone First $76 42%
Keystone First Chip $76 42%
La Care Health Plan $76 42%
Lakeland Care Inc $76 42%
Managed Health Services - Indiana $76 42%
Maryland Breast & Cervical Program $76 42%
Maryland Healthy Smiles - Scion Dental $76 42%
Maryland Physicians Care $76 42%
Massachusetts Behavioral Health Partnership $76 42%
Mdwise $76 42%
Medi-Cal $76 42%
Medi-Cal Healthnet $76 42%
Medicaid / KanCare $76 - $227 42%
Medstar Dc Healthy Family $76 42%
Medstar Md Health Choice $76 42%
Mo Home State Health Plan $76 42%
Molina Centennial Care $76 42%
Nascentia Health Options $76 42%
Nebraska Total Care $76 42%
New York Cancer Services Program $76 42%
Nextlevel Health $76 42%
Oregon Screenwise $76 42%
Pace Of Southwest Michigan $76 42%
Paramount Advantage $76 42%
Parkland Community Health Plan $76 42%
Partners Behavioral Lme $76 42%
Peach State Healthplan $76 42%
Philadelphia County Funding $76 42%
Presbyterian Centennial Care $76 42%
Prestige Health Choice $76 42%
Priority Partners $76 42%
Robert F Sing Program $76 42%
Rx 340B Pass Along $76 42%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $76 42%
Rx Medi-Cal $76 42%
Rx Meridian Rx $76 42%
Ryan White Florida Mssrp $76 42%
Sandhills Center Lme $76 42%
Screening For Life $76 42%
St Joseph County Hlth Dpt $76 42%
Stephenson Cty Health $76 42%
Sunshine State Health Plan $76 42%
Superior Health $76 42%
Tenncare $76 42%
Texas Children'S Health Plan $76 42%
Trillium Community Ohp $76 42%
Tufts Health Public Plans $76 42%
Vaya Health Lme $76 42%
Washtenaw Health Plan $76 42%
Wellsense Health Plan $76 42%
Wi Womens Wellness $76 42%
UnitedHealthcare $78 - $106 43%
Medicare (plans) $82 - $115 45%
Align Senior Care $84 - $112 46%
Veterans Administration $84 - $112 46%
Hap $85 - $127 47%
Health Partners $85 47%
Tufts Health Plan $85 47%
Asr Health Benefits $88 - $118 49%
Cca - Zing Health $90 - $120 50%
Access Health $94 - $125 52%
Longevity Ipa Of Michigan Llc Health Plan Isnp $94 - $126 52%
American Postal Workers Secondary $97 - $114 53%
Us Health And Life $99 - $128 55%
Geha $102 56%
Blue Care Network $103 - $122 57%
Priority Health $103 - $121 57%
1199 National Benefit Fund $113 - $151 62%
Acclaim $113 - $132 62%
Administrative Concepts $113 - $132 62%
Allegeant $113 - $132 62%
Allied Benefit Systems $113 - $132 62%
Allied National Global Care $113 - $151 62%
Ameriben $113 - $132 62%
American Family $113 - $132 62%
American Healthcare Alliance $113 - $132 62%
American National $113 - $132 62%
American Republic $113 - $132 62%
Amerihealth $113 - $132 62%
Asrm - Reliance Standard Life Insurance $113 - $151 62%
Aultcare $113 - $132 62%
Automated Benefit Services $113 - $132 62%
Auxiant $113 - $132 62%
Benefit Administrative Systems,Llc $113 - $132 62%
Boon Chapman $113 - $132 62%
Cam Administrative Services $113 - $132 62%
Christian Brother Services $113 - $132 62%
Christian Brothers Holy Cross $113 - $132 62%
Christian Care Ministry $113 - $151 62%
Claimchoice Adminstrators $113 - $132 62%
Comprehensive Benefits $113 - $132 62%
Consociate $113 - $132 62%
Continental Life Insurance $113 - $132 62%
Coventry $113 - $132 62%
Custom Benefit Administrators $113 - $132 62%
Cypress Benefit Administrators $113 - $132 62%
Dean Health $113 - $151 62%
Employee Benefit Concepts $113 - $132 62%
Employee Benefit Management $113 - $132 62%
Enterprise Group Planning $113 - $132 62%
Fallon Health $113 - $151 62%
Family Life Insurance Company $113 - $151 62%
First Health $113 - $132 62%
Forest County Potawatomi $113 - $132 62%
Freedom Life Insurance Company $113 - $132 62%
Group Administrators $113 - $132 62%
Group Marketing Services $113 - $132 62%
Group Pension Administrators $113 - $132 62%
Guardian $113 - $132 62%
Health America $113 - $132 62%
Health Choices $113 - $132 62%
Health Smart $113 - $132 62%
Healthcare Management Admin $113 - $132 62%
Healthez $113 - $132 62%
Healthgram $113 - $132 62%
Healthscope $113 - $132 62%
Insight $113 - $132 62%
Intercare $113 - $132 62%
International Benefit Administrators $113 - $151 62%
Jfp Benefit Management $113 - $132 62%
Jp Farley Corporation $113 - $132 62%
Key Benefit Administrator $113 - $132 62%
Liberty Union Life Assurance Co $113 - $132 62%
Lifetime Benefit Solutions $113 - $151 62%
Lucent Health $113 - $132 62%
Luminare Health $113 - $132 62%
Luminare Health (Detroit) $113 - $132 62%
Magnacare $113 - $132 62%
Manhattan Life $113 - $151 62%
Medben $113 - $132 62%
Medcost $113 - $132 62%
Medical Mutual $113 - $132 62%
Molina Marketplace $113 - $151 62%
Multiplan $113 - $151 62%
Mutual Health Services $113 - $132 62%
Mutual Of Omaha $113 - $132 62%
Mvp $113 - $151 62%
Ncas $113 - $132 62%
Nippon Life Ins $113 - $132 62%
Nova $113 - $132 62%
Oscar $113 - $151 62%
Pai $113 - $151 62%
Painters Union Insurance Fund $113 - $132 62%
Pan-American Life $113 - $151 62%
Phcs $113 - $151 62%
Physicians Mutual $113 - $132 62%
Plumbers Local 98 Insurance Fund $113 - $132 62%
Prairie States $113 - $132 62%
Preferred One $113 - $132 62%
Primary Physician Care $113 - $132 62%
Professional Benefit Administrators $113 - $132 62%
Secureone Preferred United Plans $113 - $132 62%
Siho Insurance Services $113 - $132 62%
Sisco Benefits $113 - $132 62%
The Health Plan $113 - $132 62%
The Loomis Company $113 - $132 62%
Trinity Health Share $113 - $151 62%
Trustmark Small Business Benefits $113 - $132 62%
Unicare $113 - $132 62%
Unified Group Services $113 - $132 62%
Valenz $113 - $132 62%
Webtpa $113 - $132 62%
Wellpath $113 - $151 62%
Western & Southern Financial Group $113 - $132 62%
Wps $113 - $132 62%
Blue Benefit Administrators Of Massachusetts $115 - $135 63%
Blue Distinction Transplant $115 - $135 63%
Blue Shield - Ca $115 - $135 63%
Blue Shield - Id (Regence) $115 - $135 63%
Blue Shield - Ny Highmark Northeastern $115 - $135 63%
Blue Shield - Ny Highmark Western $115 - $135 63%
Blue Shield - Pa (Highmark) $115 - $135 63%
Blue Shield - Wa (Regence) $115 - $135 63%
Partners Direct Health - Brio $121 - $162 67%
Varipro $127 70%
Wc Accident Fund $128 - $150 71%
Wc Advantage $128 - $150 71%
Wc Aig $128 - $150 71%
Wc Allied $128 - $150 71%
Wc Amerisure $128 - $150 71%
Wc Amtrust $128 - $150 71%
Wc Asu Risk Mgt $128 - $150 71%
Wc Berkley Admin $128 - $150 71%
Wc Broadspire $128 - $150 71%
Wc Bunch & Associates $128 - $150 71%
Wc Ccmsi $128 - $150 71%
Wc Emc Insurance Company $128 - $150 71%
Wc Esis $128 - $150 71%
Wc Fcci $128 - $150 71%
Wc Federated $128 - $150 71%
Wc Gallagher Bassett $128 - $150 71%
Wc Genex Care For Ohio $128 - $150 71%
Wc Guard Insurance Company $128 - $150 71%
Wc Hartford $128 - $150 71%
Wc Liberty Mutual $128 - $150 71%
Wc Meijers $128 - $150 71%
Wc Michigan $128 - $150 71%
Wc Mitchell Frankenmuth $128 - $150 71%
Wc Pma $128 - $150 71%
Wc Sedgwick $128 - $150 71%
Wc Sentry $128 - $150 71%
Wc Travelers $128 - $150 71%
Wc Tristar $128 - $150 71%
Wc Walmart $128 - $150 71%
Wc Zurich $128 - $150 71%
Claimdoc $130 - $173 72%
Kent County Jail $130 - $173 72%
Muskegon County Jail $130 - $173 72%
Nomi Health $130 - $173 72%
Andrie Inc $134 - $158 74%
East Greenbush Central School District $134 - $158 74%
Genex Wc $134 - $158 74%
Healthsmart Workers Comp $134 - $158 74%
Jag Source $134 - $158 74%
New York State Insurance Fund $134 - $158 74%
Njm Insurance Group $134 - $158 74%
Rx Heatlhcomp $134 - $158 74%
Rx Restat $134 - $158 74%
Rx Saif Opdp Wc $134 - $158 74%
Rx Worker'S Comp $134 - $158 74%
Wc Ace $134 - $158 74%
Wc Acs Federal Employees $134 - $158 74%
Wc Acuity $134 - $158 74%
Wc Aegis $134 - $158 74%
Wc Aims $134 - $158 74%
Wc Alaska National Ins $134 - $158 74%
Wc Align Network $134 - $158 74%
Wc Am Trust N America $134 - $158 74%
Wc American Claims Mgmt $134 - $158 74%
Wc Benetech $134 - $158 74%
Wc Broward County $134 - $158 74%
Wc California State Comp Ins $134 - $158 74%
Wc California State Ins Fund $134 - $158 74%
Wc Capitol Area Health Consortium $134 - $158 74%
Wc Chartis $134 - $158 74%
Wc Chubb $134 - $158 74%
Wc Cirma $134 - $158 74%
Wc City Of Albany $134 - $158 74%
Wc City Of Sioux City $134 - $158 74%
Wc Claims Mgmt Inc $134 - $158 74%
Wc Cna $134 - $158 74%
Wc Comp One Admin C/O Manageability $134 - $158 74%
Wc Compone Admin $134 - $158 74%
Wc Corvel $134 - $158 74%
Wc Ct Healthcare Trust $134 - $158 74%
Wc Donegal Insurance Group $134 - $158 74%
Wc Employee Mutual $134 - $158 74%
Wc Enablecomp $134 - $158 74%
Wc Encore Health Network $134 - $158 74%
Wc Erie $134 - $158 74%
Wc Evolutions $134 - $158 74%
Wc Fed Ex $134 - $158 74%
Wc Federal Black Lung $134 - $158 74%
Wc Finley Occupational Health $134 - $158 74%
Wc First Agency/Occunet $134 - $158 74%
Wc Ford Motor $134 - $158 74%
Wc Fresno Unified Emp $134 - $158 74%
Wc General Motors $134 - $158 74%
Wc Generic $134 - $158 74%
Wc Great West Casualty $134 - $158 74%
Wc Guarantee Insurance $134 - $158 74%
Wc Hab $134 - $158 74%
Wc Hastings $134 - $158 74%
Wc Health Management $134 - $158 74%
Wc Heritage Summit $134 - $158 74%
Wc Hireright $134 - $158 74%
Wc Horizon $134 - $158 74%
Wc Icw Group $134 - $158 74%
Wc Idaho State Ins Fund $134 - $158 74%
Wc Intercare Insurance $134 - $158 74%
Wc Intermountain $134 - $158 74%
Wc Johns Eastern $134 - $158 74%
Wc Kemberton $134 - $158 74%
Wc Key Ins & Benefit Solutions $134 - $158 74%
Wc Mac Risk Management $134 - $158 74%
Wc Massachusetts $134 - $158 74%
Wc Mdia $134 - $158 74%
Wc Meadowbrook Claim $134 - $158 74%
Wc Medical Administrators $134 - $158 74%
Wc Memic $134 - $158 74%
Wc Mercy Workcare $134 - $158 74%
Wc Michigan Millers Mutual $134 - $158 74%
Wc Mra $134 - $158 74%
Wc Nationwide $134 - $158 74%
Wc Nca Comp $134 - $158 74%
Wc New York $134 - $158 74%
Wc New York Special Funds $134 - $158 74%
Wc North American Rishces $134 - $158 74%
Wc Northeast Health $134 - $158 74%
Wc Notre Dame $134 - $158 74%
Wc Novanet $134 - $158 74%
Wc O'Hara Corp $134 - $158 74%
Wc Occ Health Allen $134 - $158 74%
Wc Ohio Bureau $134 - $158 74%
Wc One Call Medical $134 - $158 74%
Wc Paradigm $134 - $158 74%
Wc Peerless $134 - $158 74%
Wc Praxis Health Network $134 - $158 74%
Wc Price Chopper $134 - $158 74%
Wc Procura Management $134 - $158 74%
Wc Qualcare $134 - $158 74%
Wc Quiktrip $134 - $158 74%
Wc Reny Company $134 - $158 74%
Wc Rev Claims $134 - $158 74%
Wc Risico $134 - $158 74%
Wc Rural Mutual $134 - $158 74%
Wc Saif Oregon $134 - $158 74%
Wc Secura $134 - $158 74%
Wc Sheakley Unicomp $134 - $158 74%
Wc Smile Lodge $134 - $158 74%
Wc Society $134 - $158 74%
Wc Srs $134 - $158 74%
Wc Taconic (Mro) $134 - $158 74%
Wc Taconic Farms $134 - $158 74%
Wc Triad Group $134 - $158 74%
Wc Troy Ny $134 - $158 74%
Wc Tyson $134 - $158 74%
Wc Unified Health Services $134 - $158 74%
Wc United Heartland $134 - $158 74%
Wc Us Dept Of Labor $134 - $158 74%
Wc Velocity $134 - $158 74%
Wc West Bend $134 - $158 74%
Wc West Bend Mutual/Argent $134 - $158 74%
Wc Winnebago Industries $134 - $158 74%
Wc Yankee Trails $134 - $158 74%
Wc York Risk $134 - $158 74%
Wc Zenith $134 - $158 74%
Meritain $165 91%
U Of M Health Plan $172 95%
Bcccp-Michigan $194 - $227 107%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 72 South State Street, Shelby, MI 49455
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals