CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Hermann Area District Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $106
  • Cash Discount Price: $115
  • vs. Medicare Baseline: 0.58x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Hermann Area District Hospital is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $115. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.58x the Medicare baseline. Located in 509 W 18Th St, Hermann, MO.
Cash / Self-Pay
$115

Average discount available for prompt cash payment at this facility.

Insurance Median
$106

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: $115 (63%)
Insurance Median: $106 (58%)
Cash: $115 (63% of Medicare)
Ins. Median: $106 (58% 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
UnitedHealthcare $61 - $112 34%
Tricare $62 - $90 34%
Choicecare Mcr Adv- All Plans $66 - $95 36%
American Hlth Mcr Adv- All Plans $69 - $100 38%
Blue Cross Blue Shield $69 - $185 38%
Humana $69 - $100 38%
Aetna $70 - $216 39%
Wellcare Mcr Adv - All Plans $70 - $102 39%
Harmony Hp Mcaid- All Plans $91 - $132 50%
Cigna $93 - $135 51%
Care Partners Mcaid- All Plans $94 - $136 52%
Healthcare Usa Mcaid- All Plans $102 - $148 56%
Healthlink Hmo $102 - $148 56%
Healthy Blue Mcaid - All Plans $104 57%
Ambetter / Centene $108 - $160 60%
Healthlink Ppo - All Other Plans $118 - $170 65%
Multiplan/Phcs - All Plans $118 - $170 65%
Coventry - All Plans $133 - $193 73%
Comp Results - All Plans $141 - $204 78%
Three Rivers - All Plans $141 - $204 78%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 509 W 18Th St, Hermann, MO 65041
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals