Psychotherapy session (45 minutes)
Facility: Cloud County Health Center
Billing Code: 90834 (CPT)
- CPT Billing Code: 90834
- Insurance Median: $152
- Cash Discount Price: $113
- vs. Medicare Baseline: 0.84x 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 |
|---|---|---|
| Pponext-All Plans | $91 - $177 | 50% |
| Mpi-All Plans | $127 - $154 | 70% |
| Aetna | $145 - $150 | 80% |
| Health Partners - All Plans | $154 | 85% |
Consumer Guidance & Cost Commentary
For CPT code 90834, representing a 45-minute psychotherapy session, Cloud County Health Center in Concordia, KS, has a gross charge of $162.00. This facility is a voluntary non-profit Critical Access Hospital, and its negotiated rates for in-network payers range from $91.00 to $154.00, with a median negotiated amount of $152.00. The cash price for this service is $113.00, which is notably lower than the median negotiated rate of $154.00. While the facility's cash price is lower than the commercial negotiated rates, patients with high-deductible plans should consider that paying cash upfront might be more cost-effective if their insurance allows for the full negotiated amount, which often includes administrative overhead. It is important to verify your specific plan's deductible status before scheduling, as paying the full negotiated rate without meeting your deductible can result in higher out-of-pocket costs than the cash price.
When evaluating the cost of this service, it is helpful to compare the facility's rates against Medicare benchmarks. The Medicare amount for this procedure is $181.34, which serves as a scientifically validated baseline for the true cost of care. The facility's gross charge of $162.00 is below the Medicare rate, and the median negotiated rate of $152.00 is also lower than the Medicare benchmark. Commercial rates often average 200% to 300% of Medicare, but fair pricing is typically defined as 120% to 150% of Medicare; in this case, the facility's