CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Harlan County Health System

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $338
  • Cash Discount Price: $297
  • vs. Medicare Baseline: 1.86x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Harlan County Health System is $338. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $297. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.86x the Medicare baseline. Located in 717 Brown St, Alma, NE.
Cash / Self-Pay
$297

Average discount available for prompt cash payment at this facility.

Insurance Median
$338

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: $297 (164%)
Insurance Median: $338 (186%)
Cash: $297 (164% of Medicare)
Ins. Median: $338 (186% 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
Medica Mcr Adv $200 110%
Medica Prime Solution $200 110%
Humana $249 137%
Tricare $249 137%
Aetna $260 143%
Great Plains Mcr Adv-All Plans $261 144%
Medica Chi Aco - All Other Plans $338 186%
Medica Chi Health $338 186%
Medica Choice $338 186%
Blue Cross Blue Shield $352 - $356 194%
Ohara Llc Wc- All Plans $352 194%
Medica Ifb Aco $356 196%
Medica Ifb Open Access $356 196%
UnitedHealthcare $356 196%
Phcs/Multiplan-All Plans $364 201%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 717 Brown St, Alma, NE 68920
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals