CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Memorial Mission Hospital and Asheville Surgery Ce

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $65
Cash Discount Price: $164
vs. Medicare Baseline: 0.36x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Memorial Mission Hospital and Asheville Surgery Ce is $65. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $164. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.36x the Medicare baseline. Located in 509 Biltmore Ave, Asheville, NC.

Cash / Self-Pay

$164

Average discount available for prompt cash payment at this facility.

Insurance Median

$65

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: $164 (90%)

Insurance Median: $65 (36%)

Cash: $164 (90% of Medicare)

Ins. Median: $65 (36% 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
Amerihealth	$16 - $108	9%
Blue Cross Blue Shield	$16 - $223	9%
Partners Health Management	$16 - $109	9%
United	$16 - $335	9%
Vaya Health	$16 - $109	9%
Wellcare	$16 - $107	9%
Apex Health	$17 - $113	9%
Aetna	$31 - $410	17%
Oscar	$31 - $203	17%
Cigna	$32 - $283	18%
Medcost	$37 - $482	20%
Caresource	$38 - $250	21%
Amerihealth Caritas	$40 - $267	22%
Magellan	$51 - $98	28%
Magellan Behavioral Health	$51 - $98	28%
Multiplan	$68 - $454	37%
Avalon Administrative Services	$73 - $482	40%
Prime Health	$75 - $511	41%
Ambetter / Centene	$330	182%

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 $164.
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 Memorial Mission Hospital and Asheville Surgery Ce 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.