CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Memorial Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $103
  • Cash Discount Price: $160
  • vs. Medicare Baseline: 0.57x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Memorial Medical Center is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $160. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.57x the Medicare baseline. Located in 701 N Virginia St, Port Lavaca, TX.
Cash / Self-Pay
$160

Average discount available for prompt cash payment at this facility.

Insurance Median
$103

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: $160 (88%)
Insurance Median: $103 (57%)
Cash: $160 (88% of Medicare)
Ins. Median: $103 (57% 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
Ambetter / Centene $27 - $126 15%
Capstar Health Network-All Plans $51 - $299 28%
Cigna $51 - $280 28%
Healthcare Highways-All Plans $55 - $299 30%
Prime Healthcare Services-All Plans $59 - $262 33%
Blue Cross Blue Shield $63 - $68 35%
Humana $68 - $299 37%
Corvel Work Comp-All Plans $72 - $318 40%
Independent Med Sys Ppo-All Plans $72 - $318 40%
Multiplan Mcr Adv $72 - $105 40%
Multiplan Phcs Ppo-All Other Plans $72 - $318 40%
Provider Select Ppo-All Plans $72 - $318 40%
Three Rivers Ppo-All Plans $72 - $318 40%
Usa Mso - All Plans $72 - $318 40%
Amerigroup Chip $84 - $180 46%
Amerigroup Star $84 - $180 46%
Amerigroup Star Kids $84 - $180 46%
Amerigroup Star Plus $84 - $180 46%
Comm Health Chip $84 - $180 46%
Comm Health Perinatal-All Other Plans $84 - $180 46%
Molina Chip/Star-All Plans $84 - $180 46%
Scott & White Chip/Star-All Plans $84 - $180 46%
Superior Chip/Star $84 - $180 46%
Texas Childrens Hp - All Plans $84 - $180 46%
UnitedHealthcare $84 - $125 46%
Comm Health Mcaid Hmo $89 - $188 49%
Comm Health Star $89 - $188 49%
Triwest Va Pccc-All Plans $90 - $103 50%
Amerigroup Mcr Adv-All Other Plans $92 - $105 51%
Care Improvement Plus - All Other Plans $92 - $105 51%
Care Improvement Plus Mcr $92 - $106 51%
Superior Allwell Mcr Adv-All Other Plans $92 - $105 51%
Universal American Mcr-All Other Plans $92 - $105 51%
Universal American Snp $96 - $110 53%
Coventry First Hlth Mcr Adv $105 - $114 58%
Coventry First Hlth Hmo Ppo-All Other Plans $114 - $299 63%
Galaxy Health Network-All Plans $133 - $318 73%
Aetna $299 165%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 N Virginia St, Port Lavaca, TX 77979
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals