Psychotherapy session (45 minutes)
Facility: University Of Kansas Health System - St Francis Campus
Billing Code: 90834 (CPT)
- CPT Billing Code: 90834
- Insurance Median: $181
- Cash Discount Price: $108
- vs. Medicare Baseline: 1.00x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Lucent Health [6000] | $148 | 82% |
| Oncology Patient Assistance Programs [2295] | $148 | 82% |
| Hooray Health [8000] | $148 | 82% |
| Blue Cross Blue Shield | $148 | 82% |
| Healthcare Highways [2210] | $148 | 82% |
| Black Lung [6055] | $148 | 82% |
| Aetna | $148 | 82% |
| Web Tpa [2115] | $148 | 82% |
| Department Of Corrections [1340] | $180 | 99% |
| Cigna | $209 | 115% |
| Healthpartners [1500] | $209 | 115% |
| American Postal Workers Union [1070] | $209 | 115% |
| National Association Of Letter Carriers [1695] | $209 | 115% |
| Humana | $213 | 117% |
| 1199 Seiu Benefit Fund [3505] | $243 | 134% |
| Worker'S Comp [2125] | $253 | 140% |
| Enablecomp [1350] | $253 | 140% |
| Multiplan [1680] | $280 | 154% |
| American Healthcare [1055] | $280 | 154% |
| First Health [1375] | $280 | 154% |
| Administrative Concepts [1005] | $280 | 154% |
| Coventry Healthcare [1320] | $296 | 163% |
| Ks Disability Determination [6090] | $361 | 199% |
Consumer Guidance & Cost Commentary
For this psychotherapy session at the University of Kansas Health System - St Francis Campus, the facility's negotiated rate is $181.00, which aligns closely with the median negotiated amount of $181.00 reported for this service. While the facility's cash price of $108.00 is significantly lower than the insurance negotiated rate, patients should be aware that paying out-of-pocket may not always be the most economical option. If your insurance plan has a high deductible or if the negotiated rate exceeds your out-of-pocket maximum, paying the cash price directly could result in substantial savings. It is advisable to contact the hospital's billing department before scheduling to confirm if "self-pay" or "prompt-pay" discounts are available, as these upfront payment incentives can reduce the final cost by 20% to 50%.
The data indicates that the facility's cash rate of $108.00 is lower than the state average for this procedure, making it a competitive option for those without insurance coverage. However, because the facility is an in-network provider for many payers, the allowed amount of $181.00 serves as the ceiling for billing, which is higher than the cash price due to administrative costs and contract structures. Patients should avoid accepting summary bills that obscure individual charges; instead, request a full itemized statement to verify that no unbundled codes or services not rendered are included. If you receive a balance bill from an out-of-network provider at this facility, you may be protected under the No Surprises Act, which prohibits balance billing for emergency and non-emergency services, so do not pay immediately without first disputing the charge with your insurer.