CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: South Peninsula Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $348
Cash Discount Price: $290
vs. Medicare Baseline: 1.92x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at South Peninsula Hospital is $348. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $290. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.92x the Medicare baseline. Located in 4300 Bartlett St, Homer, AK.

Cash / Self-Pay

$290

Average discount available for prompt cash payment at this facility.

Insurance Median

$348

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: $290 (160%)

Insurance Median: $348 (192%)

Cash: $290 (160% of Medicare)

Ins. Median: $348 (192% 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
Blue Cross Blue Shield	$118	65%
Premera First - All Plans	$130	72%
Liberty Healthshare - All Plans	$202	111%
Aetna	$329	181%
UnitedHealthcare	$337	186%
Geha - All Plans	$348	192%
Meritain - All Plans	$348	192%
Teamsters Emply - All Plans	$348	192%
Ufcw - All Plans	$348	192%
Cigna	$368	203%
Great West - All Plans	$368	203%
Moda - All Plans	$368	203%
Multiplan Phcs - All Plans	$368	203%
Pmcs - All Plans	$368	203%
First Choice Health - All Plans	$379	209%

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 $290.
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 South Peninsula 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.