CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Orem Community Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $180
  • Cash Discount Price: $232
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Orem Community Hospital is $180. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $232. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.99x the Medicare baseline. Located in 331 North 400 West, Orem, UT.
Cash / Self-Pay
$232

Average discount available for prompt cash payment at this facility.

Insurance Median
$180

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: $232 (128%)
Insurance Median: $180 (99%)
Cash: $232 (128% of Medicare)
Ins. Median: $180 (99% 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
Selecthealth $59 - $288 33%
Donor Connect $63 - $110 35%
Health Plan Of Nevada $67 - $180 37%
Aetna $87 - $335 48%
American Health $87 - $187 48%
Blue Cross Blue Shield $87 - $300 48%
Health Partners Of Nevada $87 - $180 48%
Healthy U $87 - $180 48%
Humana $87 - $180 48%
Molina $87 - $375 48%
UnitedHealthcare $87 - $335 48%
Intermountain Caregiver Plan $95 - $275 52%
Emi $121 - $213 67%
Deseret Mutual $129 - $227 71%
Cigna $141 - $335 78%
Awh Connected $142 - $254 78%
Triwest $154 85%
Emi Health $156 - $274 86%
Pehp $156 - $351 86%
Byu Risk Management $157 - $288 87%
Corporation Of The President $157 - $288 87%
Wcf Insurance $157 - $288 87%
Byu Athletics $161 - $284 89%
Campbell Scientific $161 - $284 89%
Corvel Corporation $161 - $284 89%
Franklin County $161 - $284 89%
Ifit $161 - $284 89%
Juniper Systems $161 - $284 89%
Lw Miller $161 - $284 89%
Tanner Llc $161 - $284 89%
Utah Tech $161 - $284 89%
Injury Care Of Nevada $168 - $296 93%
Managed Care Admin $175 - $308 97%
Prodegi Corp Benefit $184 - $323 101%
Uofu $184 - $323 101%
Springtide $186 - $327 103%
Global Excel $191 - $335 105%
Medcare International $191 - $335 105%
Motivhealth $191 - $335 105%
Wise Network $191 - $335 105%
Hygeia Corporation $202 - $355 111%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 331 North 400 West, Orem, UT 84057
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals