CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Rainbow Babies and Childrens Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $216
  • Cash Discount Price: $257
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Rainbow Babies and Childrens Hospital is $216. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $257. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.19x the Medicare baseline. Located in 11100 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$257

Average discount available for prompt cash payment at this facility.

Insurance Median
$216

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: $257 (142%)
Insurance Median: $216 (119%)
Cash: $257 (142% of Medicare)
Ins. Median: $216 (119% 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
Medical Mutual Of Ohio $114 - $271 63%
University Health Employee Plan (Contigo) $137 - $171 76%
Aetna $149 - $272 82%
Blue Cross Blue Shield $149 - $222 82%
Cigna $149 - $221 82%
Devoted Health $149 82%
Humana $149 82%
Molina $149 82%
Primetime Health Plan $149 82%
Summacare $149 - $250 82%
The Health Plan $149 - $239 82%
UnitedHealthcare $149 - $240 82%
Wellcare By Allwell $149 82%
Paramount $153 84%
Perennial Advantage Of Ohio $156 86%
Valor Health Plans $156 86%
Amish Aid Community Plan $171 94%
Amish Church Fund And Workers Aid Plan $171 94%
Buckeye Plain Ministries $171 94%
Christian Healthcare Ministries $171 94%
Sunrise Plain Communities $171 94%
Caresource $185 102%
Ambetter / Centene $192 106%
Jp Farley $192 - $205 106%
Immergrun $205 113%
Aultcare $215 - $226 119%
Healthsmart $222 122%
Ohio Health Choice $222 - $308 122%
Health Ohio Network $229 126%
Clarity $239 132%
Enterprise Group Planning $239 132%
Medical Mutual Traditional/Health Ohio $239 132%
Beech Street $274 - $308 151%
Ohio Preferred Network $274 - $308 151%
Century Health Network $291 160%
First Health $291 160%
Private Healthcare System $294 162%
Configurenet $308 170%
Fortified Provider Network $308 170%
Multiplan $308 170%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11100 Euclid Avenue, Cleveland, OH 44106
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens