CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Mercy Hospital Southeast

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $139
Cash Discount Price: $122
vs. Medicare Baseline: 0.77x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Mercy Hospital Southeast is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $122. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.77x the Medicare baseline. Located in 1701 Lacey St, Cape Girardeau, MO.

Cash / Self-Pay

$122

Average discount available for prompt cash payment at this facility.

Insurance Median

$139

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: $122 (67%)

Insurance Median: $139 (77%)

Cash: $122 (67% of Medicare)

Ins. Median: $139 (77% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$14 - $141	8%
Medicaid / KanCare	$14 - $247	8%
Blue Cross Blue Shield	$73 - $891	40%
First Health Contracted [320128]	$99 - $141	55%
Health Alliance Contracted [320164]	$100 - $144	55%
Aither Health Contracted [320449]	$105 - $150	58%
Edison Health Solutions Contracted [320502]	$105 - $150	58%
Healthlink Contracted [320179]	$105 - $172	58%
Mercy Benefit Admin Contracted [320251]	$105 - $150	58%
Mercy Benefit Admin [20251]	$105 - $150	58%
Yuzu Health Contracted [320521]	$105 - $150	58%
Cigna	$108 - $155	60%
Workers Comp [20426]	$116 - $177	64%
Multiplan Contracted [320270]	$123 - $177	68%
Private Health Care Systems Contracted [320320]	$123 - $177	68%
Humana	$131 - $188	72%
UnitedHealthcare	$205 - $1,036	113%
United Medical Resources Contracted [320454]	$1,036	571%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $122.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90834.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mercy Hospital Southeast is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90834.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.