CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Ochsner Stennis Memorial Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $162
Cash Discount Price: $189
vs. Medicare Baseline: 0.89x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Ochsner Stennis Memorial Hospital is $162. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $189. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.89x the Medicare baseline. Located in 14365 Highway 16 West, De Kalb, MS.

Cash / Self-Pay

$189

Average discount available for prompt cash payment at this facility.

Insurance Median

$162

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: $189 (104%)

Insurance Median: $162 (89%)

Cash: $189 (104% of Medicare)

Ins. Median: $162 (89% 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
Humana	$70 - $226	39%
UnitedHealthcare	$88 - $192	49%
Cigna	$99 - $226	55%
Medicare (plans)	$104 - $259	57%
Ambetter / Centene	$105 - $228	58%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$105 - $228	58%
Shared Health Mississippi	$109 - $237	60%
Aetna	$112 - $244	62%
Primewell Health Services Commercial Exchange Plan	$116 - $252	64%
Primewell Health Services – Commercial	$116 - $252	64%
Medicaid / KanCare	$118 - $124	65%
Select Administrative Services Network	$121 - $263	67%
Claritev D/B/A Multiplan/Phcs/American Life Care	$130 - $282	72%
Zelis	$130 - $282	72%
Prime Health Services Ppo	$138 - $301	76%
Prime Health Services Ppo -Workers Comp	$172	95%
Cor Vel	$176	97%
Blue Cross Blue Shield	$348 - $400	192%

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 $189.
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 Stennis Memorial 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.