CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Arbor Health Morton Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $93
Cash Discount Price: $120
vs. Medicare Baseline: 0.51x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Arbor Health Morton Hospital is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $120. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.51x the Medicare baseline. Located in 521 Adams Street, Morton, WA.

Cash / Self-Pay

$120

Average discount available for prompt cash payment at this facility.

Insurance Median

$93

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: $120 (66%)

Insurance Median: $93 (51%)

Cash: $120 (66% of Medicare)

Ins. Median: $93 (51% 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
Amerigroup-All Other Plans	$76	42%
Comm Health Healthy Options	$76	42%
Kaiser Mcaid	$76	42%
Molina Mcaid	$76	42%
UnitedHealthcare	$76 - $155	42%
Comm Health Basic Sub - All Other Plans	$92	51%
Aetna	$93 - $117	51%
Amerigroup Mcr Adv	$93	51%
Comm Health Mcr Adv	$93	51%
Healthnet Mcr Adv - All Plans	$93	51%
Humana	$93	51%
Mcr Railroad Mcr Adv - All Plans	$93	51%
Medicare (plans)	$93	51%
Premera Hmo Mcr Adv	$93	51%
Rural Health Mcare - All Plans	$93	51%
Regence Blue Shield Mcr Adv	$94	52%
Molina Mcr Adv	$98	54%
Wellcare Mcr Adv - All Plans	$98	54%
First Choice-All Plans	$112	62%
Kaiser Comm-All Other Plans	$113	62%
Molina Marketplace-All Other Plans	$116	64%
Regence Blue Shield Ump-All Other Plans	$136	75%
Comm Health Pebb	$137	76%
Premera First-All Other Plans	$175	97%
Cigna	$180	99%

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 $120.
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 Arbor Health Morton 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.