CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Callaway District Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $420
Cash Discount Price: $680
vs. Medicare Baseline: 2.32x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Callaway District Hospital is $420. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $680. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 2.32x the Medicare baseline. Located in P O Box 100, 211 E Kimball, Callaway, NE.

Cash / Self-Pay

$680

Average discount available for prompt cash payment at this facility.

Insurance Median

$420

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: $680 (375%)

Insurance Median: $420 (232%)

Cash: $680 (375% of Medicare)

Ins. Median: $420 (232% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 232% of the Medicare baseline (a markup of 132%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$400 - $740	221%
Health Net	$400	221%
Humana	$400	221%
UnitedHealthcare	$400	221%
Great Plains	$420	232%
Blue Cross Blue Shield	$717	395%
Ambetter / Centene	$725	400%
Midland'S Choice	$740	408%

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 $680.
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 Callaway District 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.