Psychotherapy session (45 minutes)
Facility: Hospital District #6 Patterson Health Center
Billing Code: 90834 (CPT)
- CPT Billing Code: 90834
- Insurance Median: $231
- Cash Discount Price: $160
- vs. Medicare Baseline: 1.27x 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 | $94 - $99 | 52% |
| UnitedHealthcare | $150 - $300 | 83% |
| Providers Care (Wppa)-All Plans | $262 - $525 | 144% |
Consumer Guidance & Cost Commentary
For this psychotherapy session at the Hospital District #6 Patterson Health Center in Anthony, KS, the cash price is $160, which is lower than the facility's gross charge of $200. While the data does not provide a specific county or state average for comparison, it is important to note that cash-pay rates can sometimes be more affordable than insurance negotiated rates, particularly for patients with high-deductible plans where the insurer's allowed amount might exceed the cash price. The facility offers a prompt-pay discount for upfront payment, which can further reduce the final cost, so patients are encouraged to ask about self-pay or prompt-pay options before scheduling their visit.
Insurance coverage varies significantly by plan, with Blue Cross Blue Shield plans paying between $94 and $99, UnitedHealthcare plans ranging from $150 to $300, and Providers Care plans from $262 to $525. The median negotiated rate across all payers is $231, which is higher than the cash price of $160. This pricing structure highlights the impact of administrative costs and contract dynamics in commercial insurance, where rates often exceed the true cost of care. To avoid balance billing or unexpected charges, patients should verify their specific plan's allowed amount and ensure they understand their deductible status before receiving services. If a balance bill arises from an out-of-network situation, patients should be aware of federal protections under the No Surprises Act and should never sign away their rights to dispute the bill without reviewing the terms carefully.