Psychotherapy session (45 minutes)
Facility: Ashland Health Center
Billing Code: 90834 (CPT)
- CPT Billing Code: 90834
- Insurance Median: $140
- Cash Discount Price: $112
- vs. Medicare Baseline: 0.77x 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 |
|---|---|---|
| Blue Cross Blue Shield | $47 | 26% |
| Compalliance-All Plans | $112 | 62% |
| Health Partners Of Kansas-All Plans | $119 | 66% |
| Multiplan-All Plans | $137 | 76% |
| Medicaid / KanCare | $140 | 77% |
| Medicare (plans) | $140 | 77% |
| Medica Mcare - All Plans | $140 | 77% |
| Health Choice-All Plans | $140 | 77% |
| Healthy Blue Mcr Adv - All Other Plans | $140 | 77% |
| UnitedHealthcare | $140 | 77% |
| Aetna | $140 | 77% |
| Providers Care (Wppa)-All Plans | $210 | 116% |
Consumer Guidance & Cost Commentary
For the psychotherapy session (45 minutes) at Ashland Health Center in Ashland, KS, the facility's negotiated rates across all major payers, including Blue Cross Blue Shield and UnitedHealthcare, are consistently $140.00, which matches the gross chargemaster price. This rate is significantly higher than the cash median of $112.00, illustrating that commercial insurance contracts often result in higher out-of-pocket costs for patients compared to paying directly. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, the lack of a state or county average in the provided data means these rates cannot be directly benchmarked against regional norms. However, the data indicates that Medicaid/KanCare and Medicare plans also pay the full $140.00, suggesting that for this specific service, the facility's negotiated rates align with its published gross charges rather than offering a traditional insurance discount.
Patients should be aware that while insurance typically caps charges, paying cash upfront can sometimes be more economical, particularly for those with high-deductible plans where the insurance allowed amount might exceed the cash price. In this instance, the cash price of $112.00 is lower than the $140.00 paid by insurers, so patients with no insurance or high deductibles may save money by paying the cash rate directly. It is crucial to verify if the facility offers a "self-pay" or "prompt-pay" discount before scheduling, as these programs can reduce the bill further by bypassing administrative claim processing fees. If a patient receives a bill higher than the $140.00 negotiated rate, they should request an itemized billing audit to ensure no errors