CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Samaritan North Lincoln Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $131
Cash Discount Price: $206
vs. Medicare Baseline: 0.72x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Samaritan North Lincoln Hospital is $131. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $206. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.72x the Medicare baseline. Located in 3043 Ne 28Th Street, Lincoln City, OR.

Cash / Self-Pay

$206

Average discount available for prompt cash payment at this facility.

Insurance Median

$131

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: $206 (114%)

Insurance Median: $131 (72%)

Cash: $206 (114% of Medicare)

Ins. Median: $131 (72% 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	$23 - $262	13%
Samaritan	$23 - $238	13%
Regence	$25 - $310	14%
Devoted Health	$26 - $119	14%
Pacificsource	$26 - $219	14%
Aetna	$61 - $256	34%
Moda	$61 - $257	34%
Cigna	$62 - $262	34%
Healthnet	$62 - $262	34%
Humana	$62 - $263	34%
Ihn	$109 - $176	60%
First Choice	$128 - $223	71%

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 $206.
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 Samaritan North Lincoln Hospital 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.