CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Union Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $149
  • Cash Discount Price: $214
  • vs. Medicare Baseline: 0.82x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Union Hospital is $149. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $214. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.82x the Medicare baseline. Located in 659 Boulevard, Dover, OH.
Cash / Self-Pay
$214

Average discount available for prompt cash payment at this facility.

Insurance Median
$149

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: $214 (118%)
Insurance Median: $149 (82%)
Cash: $214 (118% of Medicare)
Ins. Median: $149 (82% 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
Buckeye $49 - $91 27%
Molina $49 - $96 27%
Caresource $52 - $91 29%
United $53 - $268 29%
Amerihealth $54 - $100 30%
Summacare $59 - $593 33%
Aetna $90 - $847 50%
Blue Cross Blue Shield $90 - $232 50%
Cigna $90 - $153 50%
Humana $90 - $148 50%
The Health Plan $90 - $283 50%
Valor $90 - $148 50%
Mmo $93 - $593 51%
Aultcare $95 - $148 52%
Communicare $95 - $156 52%
Perennial Health $97 - $160 53%
Pphp $97 - $163 53%
Oscar $99 - $226 55%
Zing Health $99 - $163 55%
Cc Ehp $101 - $245 56%
United Bh $134 - $212 74%
UnitedHealthcare $138 - $148 76%
Amish Community Aid Plan $148 - $164 82%
Devoted Health $148 82%
Upmc $148 - $508 82%
Ohcp $160 - $329 88%
Omas $164 - $424 90%
Ohio Healthy $178 98%
Healthsmart $181 - $466 100%
Php $197 109%
Phphi $197 - $508 109%
Gms $230 - $593 127%
Medical Benefit Corp $230 127%
Consociate Health $247 - $635 136%
Frontpath $296 163%
Managed Care Services $296 163%
Multiplan $296 - $762 163%
Tertiary Care Network $296 163%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 659 Boulevard, Dover, OH 44622
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals