CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Fairview Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $153
  • Cash Discount Price: $214
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Fairview Hospital is $153. 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 0.84x the Medicare baseline. Located in 18101 Lorain Avenue, Cleveland, OH.
Cash / Self-Pay
$214

Average discount available for prompt cash payment at this facility.

Insurance Median
$153

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: $153 (84%)
Cash: $214 (118% of Medicare)
Ins. Median: $153 (84% 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
Blue Cross Blue Shield $61 - $211 34%
UnitedHealthcare $85 - $204 47%
Paramount $92 51%
Buckeye $94 52%
Molina $94 52%
Caresource $95 52%
United $95 - $277 52%
United Bh $95 52%
Amerihealth $98 54%
Oscar $99 - $126 55%
Summacare $101 - $149 56%
Cc Ehp $129 - $133 71%
Cigna $130 - $157 72%
Humana $138 - $280 76%
Aultcare $141 78%
Amish Community Aid Plan $148 - $164 82%
Aetna $149 - $329 82%
Devoted Health $149 82%
Mmo $149 - $194 82%
The Health Plan $149 - $197 82%
Upmc $149 - $197 82%
Valor $149 82%
Communicare $156 86%
Ohcp $160 88%
Perennial Health $161 89%
Omas $164 90%
Pphp $164 90%
Zing Health $164 90%
Ohio Healthy $178 98%
Healthsmart $181 100%
Php $197 109%
Phphi $197 109%
Gms $230 127%
Medical Benefit Corp $230 127%
Quality Care Partners $230 127%
Consociate Health $247 136%
Frontpath $296 163%
Managed Care Services $296 163%
Multiplan $296 163%
Tertiary Care Network $296 163%
Three Rivers $296 163%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 18101 Lorain Avenue, Cleveland, OH 44111
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals