CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Merit Health Wesley

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $158
  • Cash Discount Price: $123
  • vs. Medicare Baseline: 0.87x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Merit Health Wesley is $158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $123. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.87x the Medicare baseline. Located in 5001 W Hardy St, Hattiesburg, MS.
Cash / Self-Pay
$123

Average discount available for prompt cash payment at this facility.

Insurance Median
$158

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: $123 (68%)
Insurance Median: $158 (87%)
Cash: $123 (68% of Medicare)
Ins. Median: $158 (87% 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 $54 - $164 30%
Chs Group Health Plan $97 53%
Veterans Eval Services $100 55%
Self Pay $101 - $145 56%
Magnolia $122 - $155 67%
Medicaid / KanCare $122 - $124 67%
Magnolia Mcd Ms Chip $124 68%
Caresource Truecare $125 69%
Molina Chip $132 73%
Cigna $136 - $155 75%
Trimed Billing Solutions $145 80%
Tricare $152 84%
First Choice $155 - $386 85%
Humana $155 85%
Medicare (plans) $155 85%
Node Vantage Mcr Adv $155 85%
Molina $158 87%
Node Devoted Health Mcr Adv $158 87%
Node First Choice American Health Mcr Adv $158 87%
Node Hospice Non Par Agree $158 87%
Node Va $158 87%
Aetna $160 - $201 88%
Node Champva $160 88%
Node First Choice Wellcare Mcr Adv $161 89%
Node Healthy Mississippi Mcr Adv $173 95%
Ms Work Comp $194 107%
Node Us Dept Of Labor $197 109%
Molina Exchange $207 114%
First Choice Molina $268 148%
Advanced Health Systems $270 149%
Magnolia Exchange $276 152%
Blue Cross Blue Shield $311 172%
Benefit Management Services $314 173%
First Choice Lgp $344 190%
Vantage Health $355 196%
Coventry First Health $362 200%
Ms Dept Of Rehabilitation Services $483 266%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5001 W Hardy St, Hattiesburg, MS 39402
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals