Psychotherapy session (45 minutes)
Facility: Kansas City Orthopaedic Institute
Billing Code: 90834 (CPT)
- CPT Billing Code: 90834
- Insurance Median: $368
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 2.03x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 203% of the Medicare baseline (a markup of 103%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| UnitedHealthcare | $142 | 78% |
| Aetna | $142 | 78% |
| Cigna | $151 | 83% |
| Blue Cross Blue Shield | $368 | 203% |
Consumer Guidance & Cost Commentary
For the psychotherapy session (45 minutes) at Kansas City Orthopaedic Institute in Leawood, KS, the facility's negotiated rates range from $142 to $368 depending on the insurance carrier. While UnitedHealthcare, Aetna, and Cigna have a single plan each with a negotiated rate of $142, $142, and $151 respectively, Blue Cross Blue Shield has five plans with a negotiated rate of $368. It is important to note that cash-pay rates are not available for this service, and the facility is owned by physicians. Patients should be aware that commercial negotiated rates often exceed cash prices due to administrative costs and contract structures; however, since a cash price is not listed here, patients with high-deductible plans should verify if paying out-of-pocket would be more cost-effective than their specific insurance plan's allowed amount.
When evaluating the cost of this service, it is crucial to compare the facility's rates against the Medicare benchmark rather than the hospital's inflated chargemaster list. The Medicare amount for this procedure is $181.34, and the facility's median negotiated rate of $368 represents a significant markup relative to this federal baseline. While the data does not provide specific county or state average comparisons for this specific code, patients should understand that Medicare rates serve as the scientifically validated cost baseline used to evaluate fair pricing. If a patient receives an itemized bill that appears higher than expected, they should request a full line-by-line audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain mistakes that can be corrected through a formal written dispute.