CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Mid-Columbia Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $101
Cash Discount Price: $132
vs. Medicare Baseline: 0.56x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Mid-Columbia Medical Center is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $132. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.56x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.

Cash / Self-Pay

$132

Average discount available for prompt cash payment at this facility.

Insurance Median

$101

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: $132 (73%)

Insurance Median: $101 (56%)

Cash: $132 (73% of Medicare)

Ins. Median: $101 (56% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Providence Ppo - All Plans	$58	32%
Blue Cross Blue Shield	$92 - $183	51%
Community Hp Mcr Adv - All Plans	$92	51%
Molina Mcr Adv	$92	51%
Tricare	$92	51%
Va Ccn Triwest - All Plans	$92	51%
Healthnet Mcr Adv	$93	51%
Humana	$94	52%
Moda Mcr Adv	$94	52%
Devoted Mcr Adv - All Plans	$99	55%
Employee Health Plan - All Plans	$101	56%
Molina - All Other Plans	$101	56%
Healthnet - All Other Plans	$113	62%
Molina Mcaid	$144	79%
Coventry - All Plans	$146	81%
First Choice - All Plans	$149	82%
Cigna	$153	84%
Multiplan/Phcs - All Plans	$156	86%
Moda Health Plan - All Other Plans	$163	90%
Amerigroup Mcaid - All Plans	$276	152%
Coordinated Care Mcaid - All Plans	$276	152%
Aetna	$393	217%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $132.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90834.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mid-Columbia Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90834.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.