Psychotherapy session (45 minutes)
Facility: Stanton County Hospital
Billing Code: 90834 (CPT)
- CPT Billing Code: 90834
- Insurance Median: $207
- Cash Discount Price: $139
- vs. Medicare Baseline: 1.14x 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 | $95 - $230 | 52% |
| Healthy Blue Mcaid | $207 | 114% |
| Healthy Blue Mcr Adv - All Other Plans | $238 | 131% |
Consumer Guidance & Cost Commentary
For this psychotherapy session at Stanton County Hospital, the cash price is $139.00, which matches the facility's median negotiated rate of $207.00. This cash price is significantly lower than the gross chargemaster of $139.00 listed in the data, though it is important to note that the cash rate is identical to the gross amount provided in this specific dataset entry. Patients with high-deductible plans may find paying the cash price of $139.00 more cost-effective than using insurance, as the negotiated rates for in-network payers like Blue Cross Blue Shield range from $95 to $230, and Healthy Blue plans are set at $207.00. Because the cash price is already at the lowest point in the provided data, patients should still contact the hospital directly to confirm if additional "self-pay" or "prompt-pay" discounts are available before scheduling.
The facility's pricing is benchmarked against Medicare, which sets the allowed amount at $181.34. The cash price of $139.00 is approximately 76% of the Medicare rate, indicating a lower markup compared to typical commercial negotiated rates that often average 200% to 300% of Medicare. While the data does not provide a specific county or state average for comparison, the facility is a Critical Access Hospital in Johnson, KS, and its government-local ownership structure may influence its pricing strategy. Patients should be aware that if they choose to use insurance, they must verify their deductible status, as the negotiated rates exceed the cash price. Furthermore, if any out-of-network services are rendered during a visit