CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Mt Sinai Hospital Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $196
  • Cash Discount Price: $194
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Mt Sinai Hospital Medical Center is $196. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $194. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.08x the Medicare baseline. Located in 15Th Street at California, Chicago, IL.
Cash / Self-Pay
$194

Average discount available for prompt cash payment at this facility.

Insurance Median
$196

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: $194 (107%)
Insurance Median: $196 (108%)
Cash: $194 (107% of Medicare)
Ins. Median: $196 (108% 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
Partners In Hlth - All Plans $78 - $143 43%
Blue Cross Blue Shield $87 - $228 48%
Cigna $110 - $443 61%
Compsych Ip/Op Only - All Plans $117 - $215 65%
Healthlink Hmo $127 - $233 70%
Hfn Platinum $127 - $233 70%
Healthlink Ppo - All Other Plans $137 - $251 76%
Multiplan Primary Ntwrk/Phcs - All Other Plans $137 - $251 76%
Hfn Epo $156 - $287 86%
Multiplan Complementary Ntwrk $156 - $287 86%
Hfn Ppo - All Other Plans $172 - $315 95%
Tricare $184 101%
Va Healthnet - All Plans $184 101%
Advocate Physician Prtnrs Mcr $190 105%
Cenpatico Illinicare Dual $190 105%
Cenpatico Illinicare Mcr - All Other Plans $190 105%
Evernorth Behav Hlth Mcr Adv $190 105%
Humana $190 - $1,125 105%
Lawndale Christian - All Plans $190 105%
Meridian/Harmony D-Snp - All Plans $190 105%
Nextlevel Hlth Icp Fhp Aca - All Plans $190 105%
UnitedHealthcare $190 - $196 105%
Harmony Behavioral Htlh - All Plans $196 108%
Zing Mcr Adv - All Plans $198 109%
Molina Mcr - All Other Plans $200 110%
Ambetter / Centene $205 - $376 113%
Advocate Physician Prtnrs - All Other Plans $209 115%
Oscar - All Plans $215 - $394 119%
Aetna $228 - $810 126%
Cenpatico Illinicare Bh Mcaid $228 126%
Family Health Network Mcaid - All Plans $228 126%
Molina Mcaid $239 132%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15Th Street at California, Chicago, IL 60608
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals