CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Arthur G James Cancer Hospital and Research Institute

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $250
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.38x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Arthur G James Cancer Hospital and Research Institute is $250. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.38x the Medicare baseline. Located in 460 W 10Th Ave, Columbus, OH.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$250

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%)
Insurance Median: $250 (138%)
Ins. Median: $250 (138% 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
Healthspan $91 - $5,413 50%
Medigold $91 50%
Upper Ohio Valley $91 - $5,413 50%
Medicare (plans) $92 - $5,467 51%
Humana $93 - $5,521 51%
Medicaid / KanCare $105 - $145 58%
Aetna $111 - $5,388 61%
United $116 - $379 64%
Caresource $137 - $205 76%
Mmo $137 - $351 76%
Molina $137 - $5,388 76%
Odrc $145 - $169 80%
Blue Cross Blue Shield $153 - $394 84%
Buckeye Community $154 - $204 85%
Amerihealth $155 - $224 85%
Osu Health Plan $190 - $275 105%
Lifetrac $270 - $283 149%
Ohio Ppo $273 151%
Ohiohealth $300 - $304 165%
Cigna $301 - $453 166%
Frontpath $333 184%
Healthsmart $374 206%
Multiplan $387 213%
Ohio Dept Of Health $4,289 2365%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 460 W 10Th Ave, Columbus, OH 43210
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL