CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Wellmont Holston Valley Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $176
  • Cash Discount Price: $45
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Wellmont Holston Valley Medical Center is $176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $45. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.97x the Medicare baseline. Located in 130 West Ravine Road, Kingsport, TN.
Cash / Self-Pay
$45

Average discount available for prompt cash payment at this facility.

Insurance Median
$176

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: $45 (25%)
Insurance Median: $176 (97%)
Cash: $45 (25% of Medicare)
Ins. Median: $176 (97% 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
UnitedHealthcare $66 - $183 36%
Sentara Health $77 - $168 42%
Cigna $125 - $177 69%
Aetna $128 - $190 71%
Medcost $142 78%
Humana $168 93%
Managed Medicaire $168 93%
Medicare (plans) $168 93%
United Mine Workers Of America $168 93%
Blue Cross Blue Shield $172 - $299 95%
Amerigroup $175 97%
Devoted Health Plan $177 98%
Molina Healthcare $177 - $192 98%
Mountain Empire Pace $177 98%
Nhc Advantage $177 98%
Wellcare $178 - $299 98%
Optima Health $189 104%
First Health Coventry $230 127%
Seven Corners, Inc. $299 165%
Ambetter / Centene $367 202%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 130 West Ravine Road, Kingsport, TN 37662
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals