CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Fisher-Titus Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $148
Cash Discount Price: $161
vs. Medicare Baseline: 0.82x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Fisher-Titus Hospital is $148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $161. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.82x the Medicare baseline. Located in 272 Benedict Avenue, Norwalk, OH.

Cash / Self-Pay

$161

Average discount available for prompt cash payment at this facility.

Insurance Median

$148

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: $161 (89%)

Insurance Median: $148 (82%)

Cash: $161 (89% of Medicare)

Ins. Median: $148 (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.

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
Humana	$49 - $90	27%
Aetna	$51 - $168	28%
Blue Cross Blue Shield	$64 - $176	35%
Caresource	$64 - $151	35%
Amerihealth	$66	36%
Buckeye	$66 - $151	36%
Molina	$66	36%
UnitedHealthcare	$66 - $176	36%
Medical Mutual Of Ohio	$67 - $151	37%
Martin'S Point	$68 - $90	37%
Sidecar	$89 - $320	49%
Devoted	$90	50%
Medigold	$90	50%
Meridan	$90	50%
Paramount	$90 - $174	50%
Perennial Advantage	$90 - $158	50%
Summacare	$90 - $170	50%
Zinghealth	$92	51%
Valor Health	$93 - $155	51%
Gateway	$95	52%
Perennial	$95	52%
Wellcare	$95 - $151	52%
Coresource	$103	57%
First Health	$103 - $174	57%
Health Scope	$108	60%
Emerald Health	$113 - $187	62%
Frontpath	$117	65%
Ohio Health Choice	$117 - $174	65%
Health Ohio Network	$120 - $135	66%
Cigna	$126 - $154	69%
Clarity Health	$126	69%
Multiplan	$126 - $174	69%
Tricare	$128 - $154	71%
Claimsdoc	$137 - $154	76%
Zing Health	$151	83%
Healthscope	$156 - $176	86%

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 $161.
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 Fisher-Titus 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.