CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Alliancehealth Madill

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $95
  • Cash Discount Price: $61
  • vs. Medicare Baseline: 0.52x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Alliancehealth Madill is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $61. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.52x the Medicare baseline. Located in 901 S 5Th Ave, Madill, OK.
Cash / Self-Pay
$61

Average discount available for prompt cash payment at this facility.

Insurance Median
$95

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: $61 (34%)
Insurance Median: $95 (52%)
Cash: $61 (34% of Medicare)
Ins. Median: $95 (52% 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
Preferred Community Choice Ppo $26 14%
Blue Cross Blue Shield $27 - $37 15%
Humana $36 - $95 20%
Medicare (plans) $36 20%
Node Global Health Mcr Adv $36 20%
Node Indian Health Service Managed Care $37 20%
Node Va $37 - $84 20%
Node Champva $38 21%
Tricare $38 21%
Self Pay $61 34%
Coventry $87 48%
Aetna $95 - $139 52%
Medicaid / KanCare $95 52%
Globalhealth $108 60%
Healthcare Highways $109 60%
Phcs $122 67%
Multiplan $130 - $136 72%
Node Us Dept Of Labor $138 76%
First Health $143 79%
Cigna $148 82%
Evolutions Healthcare Systems $148 82%
Ok Work Comp $266 147%
Healthchoice $321 177%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 S 5Th Ave, Madill, OK 73446
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals