CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Southwest General Health Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $132
  • Cash Discount Price: $227
  • vs. Medicare Baseline: 0.73x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Southwest General Health Center is $132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $227. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.73x the Medicare baseline. Located in 18697 Bagley Road, Middleburg Heights, OH.
Cash / Self-Pay
$227

Average discount available for prompt cash payment at this facility.

Insurance Median
$132

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: $227 (125%)
Insurance Median: $132 (73%)
Cash: $227 (125% of Medicare)
Ins. Median: $132 (73% 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 - $201 27%
Caresource $49 - $132 27%
Humana $49 - $132 27%
Molina $49 - $201 27%
UnitedHealthcare $49 - $163 27%
Amerihealth Caritas $51 - $132 28%
Medical Mutual $64 - $66 35%
Medical Mutual-Ohio $64 - $131 35%
Healthsmart $97 53%
Health Design Plus $112 62%
Clarity Health $121 67%
Healthspan $121 67%
Blue Cross Blue Shield $131 - $174 72%
Valor Health $131 72%
Healthsmart Preferred $136 75%
Ohio Health Choice Plus $146 81%
Aetna $163 90%
Summacare $163 90%
Cigna $165 91%
Coventry $208 115%
First Health $208 115%
Ohio Health Choice $233 128%
Private Healthare Systems $242 133%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 18697 Bagley Road, Middleburg Heights, OH 44130
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals