CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Cumberland Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $148
  • Cash Discount Price: $63
  • vs. Medicare Baseline: 0.82x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Cumberland Medical Center is $148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.82x the Medicare baseline. Located in 421 S Main St, Crossville, TN.
Cash / Self-Pay
$63

Average discount available for prompt cash payment at this facility.

Insurance Median
$148

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: $63 (35%)
Insurance Median: $148 (82%)
Cash: $63 (35% of Medicare)
Ins. Median: $148 (82% 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
Blue Cross Blue Shield $39 - $165 22%
Aetna $74 - $165 41%
UnitedHealthcare $76 - $165 42%
Ehn $83 - $92 46%
Cigna $94 - $165 52%
Ambetter / Centene $111 - $122 61%
Correctional Medical Services $111 - $122 61%
Community Services Network $120 - $133 66%
Wellpoint $125 - $165 69%
Usa Managed Care Organization $130 - $143 72%
Novanet $139 - $153 77%
Direct Care America $148 - $163 82%
Medsave Usa $148 - $163 82%
National Provider Network $148 - $163 82%
Farm Bureau $149 82%
Beech Street $157 - $173 87%
Ccn Managed Care $157 - $173 87%
Tricare $157 87%
Humana $162 89%
Initial Group $163 - $180 90%
Devoted Health $165 91%
Wellcare $165 91%
Galaxy Health Network $166 - $184 92%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 421 S Main St, Crossville, TN 38555
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals