Psychotherapy session (45 minutes)
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 90834 (CPT)
- CPT Billing Code: 90834
- Insurance Median: $126
- Cash Discount Price: $158
- vs. Medicare Baseline: 0.69x 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 |
|---|---|---|
| Direct Benefit-All Plans | $42 | 23% |
| UnitedHealthcare | $51 - $175 | 28% |
| Berkley Net-All Plans | $70 | 39% |
| Trustmark Health Benefits-All Plans | $77 | 42% |
| Aetna | $77 - $119 | 42% |
| Meritain Health-All Plans | $79 | 44% |
| Ambetter / Centene | $84 | 46% |
| Axa Equitable - All Plans | $96 | 53% |
| Pinnacol-All Plans | $98 | 54% |
| Medi-Share-All Plans | $100 | 55% |
| Presbyterian-All Plans | $107 | 59% |
| Kasb Work Comp - All Plans | $112 | 62% |
| The Kempton Group Admin-All Plans | $121 | 67% |
| Auxiant - All Plans | $122 | 67% |
| Gpha(Wppa)-All Other Plans | $122 | 67% |
| Wppa- All Plans | $124 | 68% |
| Providers Care Network- All Plans | $126 | 69% |
| Emc-All Plans | $126 | 69% |
| Sisco-All Plans | $126 | 69% |
| Gpha Employee Benefit Plan | $128 | 71% |
| Regional Care(Wppa)-All Plans | $131 | 72% |
| Employee Benefit-All Plans | $131 | 72% |
| Triangle-All Plans | $133 | 73% |
| First Health -All Plans | $133 | 73% |
| One Call Physician-All Plans | $135 | 74% |
| Blue Cross Blue Shield | $138 | 76% |
| Christian Hospital Aid - All Plans | $140 | 77% |
| Tricare | $140 | 77% |
| Humana | $150 | 83% |
| Luminare Health- All Plans | $154 | 85% |
| Cigna | $154 | 85% |
| Coresource-All Plans | $158 | 87% |
| Deseret Mutual(Uhis)-All Plans | $158 | 87% |
| Vaccn-All Plans | $161 | 89% |
| Wps Vapc-All Plans | $166 | 92% |
| Reserve National-All Plans | $166 | 92% |
| Hma Llc-All Plans | $166 | 92% |
| Medicaid / KanCare | $175 | 97% |
Consumer Guidance & Cost Commentary
For this psychotherapy session at Satanta District Hospital, the facility's cash price of $158 is lower than the average negotiated rate of $126 paid by most commercial payers, which ranges from $42 to $175 depending on the insurance plan. While many insurers have negotiated rates that exceed the cash price, patients with high-deductible plans may find paying the $158 cash rate more cost-effective than facing a higher allowed amount after their deductible is met. It is important to note that the facility is a Critical Access Hospital in Kansas, and while the cash rate is competitive, the negotiated rates reflect the administrative costs and contract structures of various insurers, with the lowest negotiated rate being $42 and the highest reaching $175.
To minimize out-of-pocket costs, patients should contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront. Additionally, since the facility is government-owned, patients should verify whether their specific insurance plan has a separate contract with the hospital district that might offer different pricing than the commercial rates listed. If a patient receives a bill that includes services not rendered or charges that appear to be unbundled, they should request a formal itemized audit to ensure accuracy, as over 80% of hospital bills contain errors that can be corrected through written dispute.