CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Highland Springs

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $317
  • Cash Discount Price: $360
  • vs. Medicare Baseline: 1.75x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Highland Springs is $317. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $360. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.75x the Medicare baseline. Located in 4199 Mill Pond Drive, Beachwood, OH.
Cash / Self-Pay
$360

Average discount available for prompt cash payment at this facility.

Insurance Median
$317

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: $360 (199%)
Insurance Median: $317 (175%)
Cash: $360 (199% of Medicare)
Ins. Median: $317 (175% 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
First Health $128 - $234 71%
Health Design Plus (Uh Aco) $130 - $237 72%
Multiplan/Phcs/Beech Street $136 - $248 75%
Health Ohio Network $140 - $256 77%
Compsych $150 - $274 83%
Healthsmart $160 - $292 88%
Provider Networks Of America $170 - $310 94%
Velocity National Provider Network $170 - $390 94%
Gateway $175 - $350 97%
United Behavioral Health $187 - $316 103%
Blue Cross Blue Shield $193 - $406 106%
Berea Municipal Court $200 - $350 110%
Amerihealth $210 - $420 116%
Buckeye $225 - $375 124%
Beacon $238 - $410 131%
Cigna $238 - $386 131%
Aetna $243 - $1,278 134%
Caresource $252 - $446 139%
Core Care Select $252 - $371 139%
Humana $252 - $490 139%
Medical Mutual $252 - $518 139%
Meridian Health Plan $252 - $371 139%
Molina $252 - $483 139%
Paramount $252 - $483 139%
Va Ccn $252 - $371 139%
Tricare $292 - $365 161%
Magellan $300 - $458 165%
Healthspan (Ppo/Hmo/Select) $309 - $464 170%
Quality Care Partners $317 - $478 175%
American Behavioral $325 - $580 179%
Behavioral Health System $332 - $470 183%
Summacare $334 - $458 184%
Alliance Coal Health Plan $350 - $550 193%
Mines & Associates $350 - $600 193%
Ohio Health Choice $410 - $597 226%
First Choice Health Network $670 369%
6Degrees Health $710 - $895 392%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Mill Pond Drive, Beachwood, OH 44122
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Psychiatric