Psychotherapy session (45 minutes)
Facility: Wichita County Health Center
Billing Code: 90834 (CPT)
- CPT Billing Code: 90834
- Insurance Median: $137
- Cash Discount Price: $120
- vs. Medicare Baseline: 0.76x 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 |
|---|---|---|
| Medicaid / KanCare | $124 | 68% |
| UnitedHealthcare | $150 | 83% |
Consumer Guidance & Cost Commentary
For this psychotherapy session at Wichita County Health Center in Leoti, Kansas, the facility's negotiated rates with insurance carriers like Medicaid and UnitedHealthcare align closely with the state average, reflecting a transparent pricing structure for in-network care. While the gross charge is $150, the median amount paid by insurers is $124, and the median negotiated rate across plans is $137. It is important to note that cash payments can sometimes be more cost-effective for patients with high-deductible plans, as the cash price of $120 is lower than the insurance negotiated rate. Patients should proactively ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as paying upfront can often bypass administrative fees and reduce the final bill.
The facility's pricing is benchmarked against Medicare, which sets a standard rate of $181.34 for this service; the commercial negotiated rates are slightly below this federal baseline, indicating fair pricing relative to the true cost of care. Since the cash price of $120 is lower than both the Medicare amount and the insurance negotiated rate, patients with limited insurance coverage or those who have not met their deductibles may save money by paying directly. To ensure you receive the best possible rate, always request a detailed itemized bill before paying, and do not accept summary invoices that obscure individual charges. If you receive a balance bill from an out-of-network provider, you have the right to dispute it under the No Surprises Act, but for this in-network facility, the transparent negotiated rates provide a clear and predictable cost.