CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Atrium Health Cleveland

Billing Code: 90834 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$127

about 0.7× the $181 Medicare rate · typically $90–$149

modeled estimate · not a bill or quote

What this hospital charges insurers

$148

Above the fair price

about $21 over the fair price · 0.8× Medicare

Medicare pays $181 Fair price $127 This hospital $148 Cash price $94 Hospital's list price $188

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

A typical price — 0 charge more and 4 charge less, among the 9 NC hospitals compared.

Cheapest $68 Priciest $148

Black dot = this hospital, among the 9 NC hospitals with a price for this procedure. Full list below.

A fair price for a Psychotherapy session (45 minutes) is about $127 (about 0.7× the $181 Medicare rate). Atrium Health Cleveland charges insurers about $148, or about $94 in cash — above the fair price. Located in Shelby, NC.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $127. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$39 - $211	22%
Blue Cross Blue Shieldmajor	$58 - $193	32%
Aetnamajor	$50 - $217	28%
Cignamajor	$81 - $178	45%
Humanamajor	$91 - $154	50%
Ambetter (Centene)	$60 - $143	33%
AmeriHealth	$27 - $61	15%
Health Net	$83 - $158	46%
WellCare	$27 - $61	15%
+ 16 smaller / regional plans	$26 - $208

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 94), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90834.

Insurance Before you use insurance

Call your insurance company to confirm Atrium Health Cleveland is in-network.
Ask your insurer whether prior approval is required for CPT code 90834.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Atrium Health Cleveland

Compare: Psychotherapy session (45 minutes) at other NC hospitals

Insurance negotiated median for the same procedure, sorted lowest first.