CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Ochsner Rush Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $152
Cash Discount Price: $85
vs. Medicare Baseline: 0.84x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Ochsner Rush Hospital is $152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $85. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.84x the Medicare baseline. Located in 1314 19Th Ave, Meridian, MS.

Cash / Self-Pay

$85

Average discount available for prompt cash payment at this facility.

Insurance Median

$152

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: $85 (47%)

Insurance Median: $152 (84%)

Cash: $85 (47% of Medicare)

Ins. Median: $152 (84% 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
Cigna	$96 - $209	53%
Aetna	$112 - $244	62%
Medicaid / KanCare	$118 - $124	65%
Select Administrative Services Network	$121 - $263	67%
Claritev D/B/A Multiplan/Phcs/American Life Care	$130 - $282	72%
Humana	$135 - $147	74%
Prime Health Services Ppo	$138 - $301	76%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$147	81%
Medicare (plans)	$147 - $169	81%
UnitedHealthcare	$147	81%
Shared Health Mississippi	$154	85%
Prime Health Services Ppo -Workers Comp	$172	95%
Cor Vel	$176	97%
Ambetter / Centene	$206	114%
Zelis	$242	133%
Blue Cross Blue Shield	$254 - $344	140%
Primewell Health Services Commercial Exchange Plan	$411	227%
Primewell Health Services – Commercial	$411	227%

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 $85.
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 Ochsner Rush Hospital 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.