Psychotherapy session (45 minutes)
Facility: Kiowa District Hospital
Billing Code: 90834 (CPT)
- CPT Billing Code: 90834
- Insurance Median: $238
- Cash Discount Price: $200
- vs. Medicare Baseline: 1.31x 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 |
|---|---|---|
| Tricare | $98 | 54% |
| Blue Cross Blue Shield | $99 | 55% |
| Health Partners Of Ks-All Plans | $220 | 121% |
| Humana | $226 | 125% |
| Healthchoice-All Plans | $230 | 127% |
| Gbs Insurance - All Plans | $235 | 130% |
| Multiplan-All Plans | $235 | 130% |
| Triwest-All Plans | $238 | 131% |
| UnitedHealthcare | $238 - $250 | 131% |
| Aetna | $238 | 131% |
| Medicare (plans) | $238 | 131% |
| Medicaid / KanCare | $250 | 138% |
| Providers Care (Wppa)-All Plans | $375 | 207% |
| Liberty Healthshare-All Plans | $404 | 223% |
Consumer Guidance & Cost Commentary
For this psychotherapy session at Kiowa District Hospital, the cash price of $200 is lower than the median negotiated rate of $236 paid by most insurers, including UnitedHealthcare and Aetna. While the facility's negotiated rates generally align with the state average of $238, patients with high-deductible plans may find paying the $200 cash price upfront more beneficial than relying on insurance, which could result in higher out-of-pocket costs if their deductible has not been met. It is important to note that the facility offers a prompt-pay discount for upfront payments, which can further reduce the final amount owed by bypassing administrative fees and claim processing delays.
The Medicare benchmark for this service is $181.34, which serves as a baseline for evaluating the facility's pricing markup. Although the facility is a government-owned Critical Access Hospital, its cash rate of $200 exceeds the Medicare amount, reflecting the specific cost structure of this service in the Kiowa, KS area. To ensure you are receiving the most accurate pricing, we recommend requesting an itemized bill before scheduling to verify that no unbundled codes or services not rendered have been included, and asking specifically about any self-pay or prompt-pay discounts available prior to check-in.