Psychotherapy session (45 minutes)
Facility: F W Huston Medical Center
Billing Code: 90834 (CPT)
- CPT Billing Code: 90834
- Insurance Median: $300
- Cash Discount Price: $312
- vs. Medicare Baseline: 1.65x 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 | $100 | 55% |
| Aetna | $292 | 161% |
| Humana | $308 | 170% |
| Cigna | $332 | 183% |
Consumer Guidance & Cost Commentary
For this psychotherapy session at F W Huston Medical Center in Winchester, KS, the facility's negotiated rates for major payers like Blue Cross Blue Shield, Aetna, Humana, and Cigna range from $100 to $332, while the cash median is $312.00. It is important to note that cash payments can sometimes be more cost-effective for patients with high-deductible plans if the insurance negotiated rate exceeds the cash price. Since this facility is a Critical Access Hospital, patients should proactively ask about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can bypass the administrative costs associated with insurance claims processing.
When evaluating the cost, it is helpful to compare these rates against the Medicare benchmark rather than the hospital's gross charges. The Medicare amount for this service is $181.34, which serves as an objective baseline for the true cost of delivery. While the data provided does not include specific state or county average figures for comparison, patients should be aware that commercial negotiated rates often include administrative overhead that inflates the baseline price. To ensure you are receiving the best possible rate, verify your deductible status before using insurance and request a full itemized bill to avoid balance billing or unexpected charges from out-of-network ancillary services.