Psychotherapy session (45 minutes)
Facility: Overland Park Reg Med Ctr
Billing Code: 90834 (CPT)
- CPT Billing Code: 90834
- Insurance Median: $159
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.88x 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 |
|---|---|---|
| United | $137 | 76% |
| Home State Health Plan | $144 | 79% |
| American Therapy Services | $159 - $555 | 88% |
Consumer Guidance & Cost Commentary
For this psychotherapy session at Overland Park Reg Med Ctr, the negotiated rates range from $137 to $555 depending on your specific insurance plan, with a median negotiated amount of $159. It is important to note that cash-pay rates are not available for this service, meaning patients cannot utilize self-pay discounts or prompt-pay incentives to lower their out-of-pocket costs. While commercial insurance contracts often result in higher prices than cash due to administrative overhead, the lack of a cash option here means patients must rely entirely on their insurance coverage. If you have a high-deductible plan, you should verify whether your deductible has been met before scheduling, as you may be responsible for the full negotiated amount if it has not.
This service is benchmarked against the Medicare rate of $181.34, which serves as a reliable baseline for fair pricing in Kansas. The facility's negotiated rates align closely with the state average, reflecting standard market dynamics for this procedure. Since this is a CPT code for a 45-minute session, patients should be aware that balance billing is generally prohibited for in-network services under the No Surprises Act, protecting you from unexpected charges beyond your insurance allowed amount. However, if you encounter any discrepancies or believe a bill includes services not rendered, you have the right to request a formal itemized audit to ensure accuracy before making any payments.