Psychotherapy session (45 minutes)
Facility: Holton Community Hospital
Billing Code: 90834 (CPT)
- CPT Billing Code: 90834
- Insurance Median: $150
- Cash Discount Price: $197
- vs. Medicare Baseline: 0.83x 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 |
|---|---|---|
| Aetna | $80 - $375 | 44% |
| UnitedHealthcare | $80 - $262 | 44% |
| Humana | $80 - $201 | 44% |
| Kansas Superior Select - All Plans | $81 - $203 | 45% |
| Blue Cross Blue Shield | $99 | 55% |
| Preferred Health Professionals | $124 - $311 | 68% |
| Preferred Health Fn Select - All Other Plans | $124 - $311 | 68% |
| Preferred Health Freedom | $124 - $311 | 68% |
| Wppa Providers - All Plans | $142 - $356 | 78% |
| Medicaid / KanCare | $150 - $375 | 83% |
Consumer Guidance & Cost Commentary
For a psychotherapy session at Holton Community Hospital, the cash price of $197.00 is notably lower than the facility's gross charge of $263.00. While the facility's negotiated rates with major payers like Aetna and UnitedHealthcare range from $80 to $375, the cash price often provides a more affordable option for patients with high-deductible plans or those without insurance. It is important to note that commercial negotiated rates frequently exceed cash prices due to administrative overhead and contract structures, meaning paying out-of-pocket upfront can sometimes result in significant savings compared to what an insurance plan would allow.
The facility's cash rate of $197.00 is also lower than the median negotiated rate of $150.00 reported for similar services in the region, though it remains higher than the Medicare benchmark of $181.34. Patients should verify their specific plan's deductible status before scheduling, as insurance may cover the full negotiated amount if the deductible has been met. To ensure you receive the best possible price, contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full at the time of service.