CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Mercy Health Lakeshore Campus

Billing Code: 90834 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$75
about 0.4× the $181 Medicare rate · typically $75–$113
modeled estimate · not a bill or quote
What this hospital charges insurers
$128
Above the fair price
about $53 over the fair price · 0.7× Medicare
Medicare pays $181 Fair price $75 This hospital $128 Hospital's list price $211

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $65 Priciest $128

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 $75 (about 0.4× the $181 Medicare rate). Mercy Health Lakeshore Campus charges insurers about $128 — above the fair price. Located in Shelby, MI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $75. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

5 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 $78 - $106 43%
Blue Cross Blue Shieldmajor $76 - $135 42%
Aetnamajor $76 - $165 42%
Cignamajor $76 - $114 42%
Humanamajor $76 - $132 42%
Ambetter (Centene) $76 42%
AmeriHealth $113 - $132 62%
Dean Health Plan $113 - $151 62%
GEHA $102 56%
Health Net $76 - $158 42%
HealthPartners $76 - $85 42%
MagnaCare $113 - $132 62%
Medical Mutual $113 - $132 62%
Meridian $76 42%
Molina $76 - $151 42%
MVP Health Care $113 - $151 62%
Oscar Health $113 - $151 62%
Paramount $76 42%
Presbyterian $76 42%
Priority Health $103 - $121 57%
Tufts Health Plan $76 - $85 42%
UniCare $113 - $132 62%
WellSense $76 42%
+ 350 smaller / regional plans $75 - $227
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.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

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