CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Intermountain Health Garfield Memorial Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $300
Cash Discount Price: $237
vs. Medicare Baseline: 1.65x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Intermountain Health Garfield Memorial Hospital is $300. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $237. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.65x the Medicare baseline. Located in 200 North 400 East, Panguitch, UT.

Cash / Self-Pay

$237

Average discount available for prompt cash payment at this facility.

Insurance Median

$300

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: $237 (131%)

Insurance Median: $300 (165%)

Cash: $237 (131% of Medicare)

Ins. Median: $300 (165% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$87 - $303	48%
Health Choice Utah	$87 - $281	48%
Healthy U	$87 - $281	48%
Medicare (plans)	$87 - $120	48%
Molina	$87 - $300	48%
Molina Healthcare Of Utah	$87 - $300	48%
Selecthealth	$87 - $300	48%
Triwest	$87 - $162	48%
Uofu	$87 - $300	48%
Tricare	$137 - $162	76%
UnitedHealthcare	$259 - $265	143%
Blue Cross Blue Shield	$300	165%
Byu Athletic Department	$300	165%
Campbell Scientific	$300	165%
Cigna	$300	165%
Deseret Mutual	$300	165%
Emi Health	$300	165%
Franklin County	$300	165%
Health Utah	$300	165%
Hygeia Corporation	$300	165%
Juniper Systems	$300	165%
Lw Miller	$300	165%
Managed Care Administrators, Inc.	$300	165%
Medcare International	$300	165%
Motivhealth	$300	165%
Pehp	$300	165%
Prodegi Corporate Benefit Services, Llc	$300	165%
Springtide	$300	165%
Tanner Llc	$300	165%
Utah State University	$300	165%
Utah Tech University	$300	165%
Wise	$300	165%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $237.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90834.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Intermountain Health Garfield Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90834.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.