Psychotherapy session (45 minutes)
Facility: Menorah Medical Center
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 the psychotherapy session (45 minutes) at Menorah Medical Center in Overland Park, KS, the negotiated rates range from $137 to $555 depending on the insurance carrier, with a median negotiated amount of $159. This facility is an Acute Care Hospital with a proprietary ownership structure, and while specific cash or median paid values are not listed for this service, patients should be aware that cash-pay options can sometimes be more cost-effective than insurance negotiated rates, particularly for those with high-deductible plans where the insurer's allowed amount might exceed the cash price. It is crucial to verify "self-pay" or "prompt-pay" discounts directly with the hospital before scheduling, as these upfront payment incentives can significantly reduce the final bill by bypassing costly insurance claims processing.
When reviewing your bill, ensure you are comparing rates against the objective Medicare benchmark rather than the facility's inflated chargemaster list. The Medicare amount for this code is $181.34, which serves as a scientifically validated baseline for the true cost of care; commercial negotiated rates often average 200% to 300% of this figure, though fair pricing is typically defined between 120% and 150%. If you receive a balance bill for the difference between the provider's full rate and your insurance payment, remember that the No Surprises Act generally protects you from such unexpected charges for out-of-network providers at in-network facilities. Always request a detailed, itemized CPT-coded statement before paying any invoice to identify potential errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies that can be resolved through a formal