CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Wooster Community Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $233
  • Cash Discount Price: $291
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Wooster Community Hospital is $233. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $291. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.28x the Medicare baseline. Located in 1761 Beall Avenue, Wooster, OH.
Cash / Self-Pay
$291

Average discount available for prompt cash payment at this facility.

Insurance Median
$233

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: $291 (160%)
Insurance Median: $233 (128%)
Cash: $291 (160% of Medicare)
Ins. Median: $233 (128% 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 Mcaid-All Other Plans $91 50%
Caresource Mcaid $91 50%
UnitedHealthcare $91 - $276 50%
Molina Mcaid $93 51%
Blue Cross Blue Shield $94 - $268 52%
Aetna $96 - $291 53%
Amerihealth Mcaid-All Plans $96 53%
Aultcare/Primecare Mcr Adv $143 79%
Tricare $168 93%
Buckeye Mcare $172 95%
Caresource Mcr Adv $172 95%
Humana $172 - $273 95%
Med Mutual Of Oh Mcr $172 95%
Molina Mcr $172 95%
Summacare Mcr $172 95%
The Health Plan Mcr Adv $172 95%
Valor Hp Mcr-All Plans $172 95%
Healthsmart Complete Ppo-All Other Plans $195 108%
Cerco-All Plans $204 112%
Aultcare Wayne County $218 120%
Aultcare/Primetime Exch $218 120%
Rayco-All Plans $218 120%
Magnipower-All Plans $223 123%
Christian Health Ministries-All Plans $233 128%
Cigna $233 128%
Health Ohio Network Employer $233 128%
Wayne County-All Plans $233 128%
Healthsmart Accel $241 133%
Summacare Preferred Choice $241 133%
Caresource Exch - All Other Plans $245 135%
Health Ohio Network Ppo-All Other Plans $247 136%
Ohio Health Choice Supp $247 136%
Ohio Health Group Hlthy - All Other Plans $247 136%
Med Mutual Of Oh Exchange $250 138%
Med Mutual Of Oh Supermed $250 138%
Med Mutual Of Oh Trad-All Other Plans $250 138%
Health Plan Of Upper Ohio-All Plans $256 141%
The Health Plan Comm - All Other Plans $256 141%
Ohio Health Group Pref $259 143%
Aultcare/Primetime-All Other Plans $262 144%
Healthsmart Ppo $265 146%
Summacare-All Other Plans $271 149%
Ohio Health Choice-All Other Plans $273 151%
Healthsmart Hpo $276 152%
Osu-All Plans $276 152%
Central Benefits-All Plans $279 154%
First Health-All Plans $279 154%
Flora-All Plans $279 154%
Beech Street-All Plans $282 156%
Phcs-All Plans $282 156%
Molina Marketplace - All Other Plans $292 161%
Clarity Health - All Plans $335 185%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1761 Beall Avenue, Wooster, OH 44691
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals