CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Johnson County Community Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $74
  • Cash Discount Price: $44
  • vs. Medicare Baseline: 0.41x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Johnson County Community Hospital is $74. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.41x the Medicare baseline. Located in 1901 S Shady St, Mountain City, TN.
Cash / Self-Pay
$44

Average discount available for prompt cash payment at this facility.

Insurance Median
$74

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: $44 (24%)
Insurance Median: $74 (41%)
Cash: $44 (24% of Medicare)
Ins. Median: $74 (41% 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
Aetna $55 - $209 30%
Amerigroup $55 - $176 30%
Managed Medicaire $55 30%
Medicare (plans) $55 30%
Sentara Health $55 - $65 30%
United Mine Workers Of America $55 30%
UnitedHealthcare $55 - $207 30%
Wellcare $55 30%
Humana $56 31%
Blue Cross Blue Shield $57 - $191 31%
Cigna $58 - $92 32%
Devoted Health Plan $58 32%
Molina Healthcare $58 - $209 32%
Nhc Advantage $58 32%
Ambetter / Centene $61 34%
Medcost $67 37%
First Health Coventry $143 79%
Seven Corners, Inc. $191 105%
Optima Health $201 111%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1901 S Shady St, Mountain City, TN 37683
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals