CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: St Francis Hospital & Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $232
  • Cash Discount Price: $188
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at St Francis Hospital & Medical Center is $232. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $188. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.28x the Medicare baseline. Located in 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT.
Cash / Self-Pay
$188

Average discount available for prompt cash payment at this facility.

Insurance Median
$232

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: $188 (104%)
Insurance Median: $232 (128%)
Cash: $188 (104% of Medicare)
Ins. Median: $232 (128% 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 New England $188 104%
Connecticut Dept of Correction $197 109%
Aetna $202 - $252 111%
Cigna $221 - $273 122%
Health Partners $221 122%
Magnacare $221 122%
Allegiance $221 122%
Pan-American Life $232 128%
Ghc Scw $232 128%
International Benefit Administrators $232 128%
Medi Share $232 128%
PHCS $232 128%
Trinity Health Share $232 128%
Lifetime Benefit Solutions $232 128%
Mvp $232 128%
Multiplan $232 128%
Allied National Global Care $232 128%
Asrm - Reliance Standard Life Insurance $232 128%
Paramount HMO $232 128%
Family Life Insurance Company $232 128%
Manhattan Life $232 128%
Dean Health $232 128%
Christian Care Ministry $232 128%
Pai $232 128%
Prime Health Services $239 132%
Hap $252 139%
1199 National Benefit Fund $252 139%
Meritain $252 139%
Luminare Health $252 139%
Webtpa $252 139%
Gravie Admin Services $252 139%
Allied Benefit Systems $252 139%
Nippon Life Ins $252 139%
Health Smart $290 160%
Geha $341 188%
Connecticare $341 188%
UnitedHealthcare $341 188%
Harvard Pilgrim Healthcare $341 188%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT 06105
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals