CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Cleveland Clinic

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $172
  • Cash Discount Price: $214
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Cleveland Clinic is $172. 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 0.95x the Medicare baseline. Located in 9500 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$214

Average discount available for prompt cash payment at this facility.

Insurance Median
$172

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: $172 (95%)
Cash: $214 (118% of Medicare)
Ins. Median: $172 (95% 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
UnitedHealthcare $47 - $542 26%
Paramount $51 - $112 28%
Buckeye $52 - $114 29%
Caresource $52 - $109 29%
United $53 - $254 29%
Amerihealth $54 30%
Molina $54 - $114 30%
Summacare $59 - $176 33%
Cigna $78 - $257 43%
Aetna $90 - $847 50%
Blue Cross Blue Shield $90 - $279 50%
Devoted Health $90 - $149 50%
Humana $90 - $280 50%
The Health Plan $90 - $466 50%
Upmc $90 - $508 50%
Valor $90 - $149 50%
Cc Ehp $91 - $205 50%
Communicare $95 - $156 52%
Perennial Health $97 - $161 53%
Pphp $97 - $164 53%
Oscar $99 - $226 55%
Zing Health $99 - $164 55%
United Bh $120 - $212 66%
Amish Community Aid Plan $148 - $381 82%
Mmo $149 - $593 82%
Ohcp $160 - $329 88%
Aultcare $161 - $364 89%
Omas $164 - $424 90%
Ohio Healthy $178 - $339 98%
Healthsmart $181 - $466 100%
Php $197 109%
Phphi $197 - $508 109%
Clarity Health $214 - $551 118%
Gms $230 - $593 127%
Medical Benefit Corp $230 127%
Parkview Health Plan $230 127%
Quality Care Partners $230 - $593 127%
Consociate Health $247 - $635 136%
Community Health Alliance $263 145%
Frontpath $296 163%
Managed Care Services $296 163%
Multiplan $296 - $762 163%
Tertiary Care Network $296 163%
Three Rivers $296 - $762 163%
Usa Managed Care $762 420%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9500 Euclid Avenue, Cleveland, OH 44195
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals