CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Curry General Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $251
Cash Discount Price: $444
vs. Medicare Baseline: 1.38x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Curry General Hospital is $251. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $444. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.38x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.

Cash / Self-Pay

$444

Average discount available for prompt cash payment at this facility.

Insurance Median

$251

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: $444 (245%)

Insurance Median: $251 (138%)

Cash: $444 (245% of Medicare)

Ins. Median: $251 (138% 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
Cigna	$65 - $435	36%
Partnership Health Plan Of Calif Mdcd Hmo [2008]	$87	48%
Covid19 Hrsa Uninsured Testing And Treatment Fund [2271]	$102	56%
Medicare (plans)	$102	56%
Tricare	$138	76%
Moda [512]	$142	78%
Coordinated Care Commercial [1649]	$159	88%
Pacificsource [1148]	$159	88%
Blue Cross Blue Shield	$226	125%
First Choice Health Admin [1294]	$275	152%
First Choice [528]	$275	152%
Medicaid / KanCare	$280 - $289	154%
Department Of Corrections [1051]	$289	159%
Providence Health Plan Plm Alt [1692]	$333	184%
Providence Health Plan [567]	$333	184%
Multiplan [1131]	$404	223%
Coventry First Health Managed Care [1774]	$435	240%
Coventry Health [1046]	$435	240%
Allcare Alt [2598]	$2,000	1103%
Allcare [1695]	$2,000	1103%

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 $444.
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 Curry General 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.