CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Howard County Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $169
  • Cash Discount Price: $208
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Howard County Medical Center is $169. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $208. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.93x the Medicare baseline. Located in P O Box 406, 1113 Sherman St, St Paul, NE.
Cash / Self-Pay
$208

Average discount available for prompt cash payment at this facility.

Insurance Median
$169

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: $208 (115%)
Insurance Median: $169 (93%)
Cash: $208 (115% of Medicare)
Ins. Median: $169 (93% 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
Humana $76 - $89 42%
Medica Standard Premier $87 48%
Aetna $89 - $222 49%
Blue Cross Blue Shield $89 - $468 49%
Great Plains $89 - $133 49%
Medica Chi $89 - $133 49%
Tricare $89 - $176 49%
UnitedHealthcare $89 - $312 49%
Medica Elevate $91 - $170 50%
Molina Healthcare $92 - $117 51%
Nebraska Total Care $92 - $117 51%
Nebraska Total Care - Wellcare $92 51%
Midland'S Choice $142 78%
Oscar Health $156 86%
Medica Chi Aco $168 - $213 93%
Medica Choice National $168 - $213 93%
Medica Ifb Aco $172 - $225 95%
Ambetter / Centene $178 98%
Beshp $178 98%
Medica Ifb Open Access $178 - $225 98%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: P O Box 406, 1113 Sherman St, St Paul, NE 68873
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals