CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Medstar Washington Hospital Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $316
Cash Discount Price: $386
vs. Medicare Baseline: 1.74x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Medstar Washington Hospital Center is $316. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $386. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.74x the Medicare baseline. Located in 110 Irving Street Nw, Washington, DC.

Cash / Self-Pay

$386

Average discount available for prompt cash payment at this facility.

Insurance Median

$316

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: $386 (213%)

Insurance Median: $316 (174%)

Cash: $386 (213% of Medicare)

Ins. Median: $316 (174% 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
UnitedHealthcare	$172 - $212	95%
Kaiser Permanente	$198 - $297	109%
Carefirst Advantage Inc	$210	116%
Tricare	$210	116%
Aetna	$216 - $380	119%
Health Care Service Corporation	$220	121%
Humana	$220	121%
Medstar Family Choice Inc	$285 - $316	157%
Amerigroup	$316	174%
Amerihealth Caritas District Of Columbia	$316	174%
Hscsn	$316	174%
Cigna	$355	196%
Carefirst Blue Choice Inc	$386	213%
Pfc	$386	213%
Ncppo Healthlink Ppo	$445	245%
Private Healthcare Systems (Phcs)	$475	262%
First Health	$505	278%

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 $386.
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 Medstar Washington Hospital Center 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.