CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Flagstaff Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $215
  • Cash Discount Price: $294
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Flagstaff Medical Center is $215. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $294. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.19x the Medicare baseline. Located in 1200 North Beaver Street, Flagstaff, AZ.
Cash / Self-Pay
$294

Average discount available for prompt cash payment at this facility.

Insurance Median
$215

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: $294 (162%)
Insurance Median: $215 (119%)
Cash: $294 (162% of Medicare)
Ins. Median: $215 (119% 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
Health Choice $111 - $389 61%
University Of Arizona Health Plans $111 - $220 61%
Va Pccc Triwest $113 - $203 62%
Devoted $122 - $210 67%
Carefirst $129 71%
Mercy Care Rhba $129 71%
Ahcccs $134 74%
Ahcccs Other $134 74%
Fmc Jail $134 74%
Health Choice Arizona $134 74%
Health Choice Integrated Care $134 74%
Health Net Of Arizona $134 74%
Mercy Care $134 74%
Nhi Out Of State Ahcccs $134 74%
UnitedHealthcare $134 - $544 74%
Health Net Federal $189 104%
Naphcare $198 - $406 109%
Aetna $200 - $501 110%
Fmc 30/70 $200 110%
Humana $200 - $559 110%
Medicare (plans) $200 110%
Mercy Care Advantage $200 110%
Rehabilitation Hospital Of Northern Arizona $200 110%
Snf Fmc $200 110%
Wellcare $200 110%
Wellcare By Allwell $200 110%
Fmc Ihs $203 112%
Ambetter / Centene $229 126%
Self Pay $294 - $588 162%
Self-Pay 50% Discount $294 162%
Pnoa $299 165%
Blue Cross Blue Shield $345 - $431 190%
Workers Comp $382 211%
Copperpoint $431 238%
Nau Athletic Department $471 260%
Cigna $530 292%
Fmc 90/10 $530 292%
Rural Arizona Network Multiplan $530 292%
United Behavioral Health $588 324%
Auto Insurance $5,000 2757%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 North Beaver Street, Flagstaff, AZ 86001
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals