CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Christ Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $89
Cash Discount Price: $83
vs. Medicare Baseline: 0.49x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Christ Hospital is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $83. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.49x the Medicare baseline. Located in 2139 Auburn Avenue, Cincinnati, OH.

Cash / Self-Pay

$83

Average discount available for prompt cash payment at this facility.

Insurance Median

$89

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: $83 (46%)

Insurance Median: $89 (49%)

Cash: $83 (46% of Medicare)

Ins. Median: $89 (49% 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
Blue Cross Blue Shield	$42 - $493	23%
Caresource [2031]	$42 - $151	23%
Humana	$42 - $151	23%
Medicaid / KanCare	$42 - $151	23%
Aetna	$63 - $151	35%
Kentucky Passport/Molina [2097]	$63	35%
UnitedHealthcare	$63 - $251	35%
Wellcare Of Kentucky [2191]	$63 - $89	35%
Allied Benefits [2163]	$74 - $148	41%
Ambetter / Centene	$74 - $148	41%
Amerihealth Caritas [2230]	$74 - $151	41%
Buckeye Community Health [2028]	$74 - $151	41%
Cigna	$74 - $251	41%
Custom Design Benefits - True Cost [3004]	$74 - $148	41%
Geha [2268]	$74	41%
Golden Rule [2161]	$74 - $151	41%
Key Benefit Administrators [2221]	$74	41%
Medical Mutual [2054]	$74 - $437	41%
Medicare (plans)	$74 - $148	41%
Meritain Health [2224]	$74 - $148	41%
Multiplan/Phcs [2059]	$74 - $183	41%
Oon Oscar [2256]	$74	41%
Other Exchange Plan [9992]	$74 - $251	41%
Tricare	$74 - $89	41%
United Medical Resources [2104]	$74 - $151	41%
First Health [2041]	$89 - $148	49%
Medben [2222]	$89 - $148	49%
Ohio Health Choice [2062]	$120	66%
Nalc [2178]	$133	73%
Priority Health [2225]	$133	73%
Buckeye Mycare Dual [2171]	$148	82%
Medigold Ppo [2204]	$148	82%
Meridian [2185]	$148	82%
Perennial [4200]	$148	82%
Poppins Health [2299]	$148	82%
Geha [2168]	$151	83%
Bccp [3079]	$251	138%
Healthcare Highways [2298]	$251	138%
Sagamore Health Network [2066]	$251	138%
Suburban Health [2408]	$251	138%
Life Synch [2080]	$356	196%
Western And Southern [2076]	$437	241%

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 $83.
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 Christ 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.