CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Nationwide Children's Hospital Toledo, LLC

Billing Code: 90834 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$126

about 0.7× the $181 Medicare rate · typically $126–$160

modeled estimate · not a bill or quote

What this hospital charges insurers

$126

About the fair price

0.7× Medicare

Medicare pays $181 Fair price $126 This hospital $126 Cash price $230 Hospital's list price $384

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $64 Priciest $126

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a Psychotherapy session (45 minutes) is about $126 (about 0.7× the $181 Medicare rate). Nationwide Children's Hospital Toledo, LLC charges insurers about $126, or about $230 in cash — about the fair price. Located in Toledo, OH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$51 - $1,408	28%
Blue Cross Blue Shieldmajor	$96 - $1,422	53%
Aetnamajor	$148 - $1,074	82%
Cignamajor	$147 - $256	81%
Humanamajor	$119	66%
AmeriHealth	$52 - $119	29%
CareSource	$51 - $190	28%
Molina	$118 - $193	65%
Paramount	$91	50%
+ 5 smaller / regional plans	$60 - $1,394

Government programs also on file: Military & VA.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 230), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90834.

Insurance Before you use insurance

Call your insurance company to confirm Nationwide Children's Hospital Toledo, LLC is in-network.
Ask your insurer whether prior approval is required for CPT code 90834.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Nationwide Children's Hospital Toledo, LLC

Compare: Psychotherapy session (45 minutes) at other OH hospitals

Insurance negotiated median for the same procedure, sorted lowest first.