CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Grady Memorial Hospital

Billing Code: 90834 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$184

about 1.0× the $181 Medicare rate · typically $114–$275

modeled estimate · not a bill or quote

What this hospital charges insurers

$107

Below the fair price — a good deal

about $77 under the fair price · 0.6× Medicare

Medicare pays $181 Fair price $184 This hospital $107 Cash price $541 Hospital's list price $541

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

One of the lower prices — 7 of 8 other GA hospitals charge more for the same procedure.

Cheapest $105 Priciest $159

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Psychotherapy session (45 minutes) is about $184 (about 1.0× the $181 Medicare rate). Grady Memorial Hospital charges insurers about $107, or about $541 in cash — below the fair price — a good deal. Located in Atlanta, GA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$91 - $390	50%
Blue Cross Blue Shieldmajor	$91 - $433	50%
Aetnamajor	$91 - $241	50%
Cignamajor	$91 - $320	50%
Humanamajor	$91 - $160	50%
Kaiser Permanentemajor	$91 - $410	50%
Ambetter (Centene)	$80 - $160	44%
Amerigroup	$68 - $88	37%
CareSource	$68 - $256	37%
Clover Health	$96 - $168	53%
Oscar Health	$125 - $352	69%
WellCare	$91 - $160	50%
+ 1 smaller / regional plan	$96 - $168

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 541), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90834.

Insurance Before you use insurance

Call your insurance company to confirm Grady Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 90834.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Grady Memorial Hospital

Compare: Psychotherapy session (45 minutes) at other GA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.