CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Pine Rest Christian Mental Health Services

Billing Code: 90834 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$95
about 0.5× the $181 Medicare rate · typically $83–$105
modeled estimate · not a bill or quote
Medicare pays $181 Fair price $95 Cash price $64 Hospital's list price $80

How we calculate the fair BaseRate →

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 $43 - $139 24%
Blue Cross Blue Shieldmajor $58 - $143 32%
Aetnamajor $58 - $173 32%
Cignamajor $90 - $113 50%
Humanamajor $67 - $112 37%
Ambetter (Centene) $80 44%
GEHA $130 - $173 72%
Molina $67 - $101 37%
Priority Health $106 - $169 58%
+ 16 smaller / regional plans $65 - $188
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 300 - 68Th Street, Se, Grand Rapids, MI 49548
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Federal
  • Hospital Type: Psychiatric