CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Griffin Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $259
Cash Discount Price: $192
vs. Medicare Baseline: 1.43x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Griffin Hospital is $259. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $192. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.43x the Medicare baseline. Located in 130 Division St, Derby, CT.

Cash / Self-Pay

$192

Average discount available for prompt cash payment at this facility.

Insurance Median

$259

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: $192 (106%)

Insurance Median: $259 (143%)

Cash: $192 (106% of Medicare)

Ins. Median: $259 (143% 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
Cigna	$68 - $490	37%
United Behavioral Health	$89 - $119	49%
Magellan	$94 - $143	52%
UnitedHealthcare	$192 - $424	106%
Blue Cross Blue Shield	$192 - $646	106%
Carepartners of Connecticut	$192	106%
Connecticare	$192	106%
Aetna	$192 - $309	106%
Connecticare (Cbi)	$217 - $356	120%
Connecticare (Cci)	$260 - $425	143%
Oxford	$280 - $459	154%
Centivo	$348 - $569	192%

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 $192.
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 Griffin 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.