CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Mercy Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $156
Cash Discount Price: $214
vs. Medicare Baseline: 0.86x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Mercy Medical Center is $156. 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 0.86x the Medicare baseline. Located in 1320 Mercy Drive Nw, Canton, OH.

Cash / Self-Pay

$214

Average discount available for prompt cash payment at this facility.

Insurance Median

$156

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: $156 (86%)

Cash: $214 (118% of Medicare)

Ins. Median: $156 (86% 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
United	$49 - $268	27%
Caresource	$51 - $87	28%
Buckeye	$52 - $87	29%
Amerihealth	$54 - $93	30%
Molina	$54 - $89	30%
Summacare	$59 - $593	33%
Blue Cross Blue Shield	$89 - $232	49%
Aetna	$90 - $847	50%
Cigna	$90 - $171	50%
Humana	$90 - $148	50%
The Health Plan	$90 - $329	50%
Mmo	$93 - $593	51%
Communicare	$95 - $156	52%
Perennial Health	$97 - $160	53%
Oscar	$99 - $226	55%
Zing Health	$99 - $163	55%
Aultcare	$104 - $135	57%
Cc Ehp	$129 - $133	71%
Amish Community Aid Plan	$148 - $164	82%
Ohcp	$160 - $329	88%
Immergrun	$164 - $635	90%
Omas	$164 - $424	90%
Ohio Healthy	$178	98%
Php	$197	109%
Phphi	$197 - $508	109%
Gms	$230 - $593	127%
Medical Benefit Corp	$230	127%
Consociate Health	$247	136%
Frontpath	$296	163%
Managed Care Services	$296	163%
Multiplan	$296 - $762	163%
Tertiary Care Network	$296	163%

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 $214.
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 Mercy Medical Center 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.