Psychotherapy session (45 minutes)
Facility: Osborne County Memorial Hospital
Billing Code: 90834 (CPT)
- CPT Billing Code: 90834
- Insurance Median: $81
- Cash Discount Price: $76
- vs. Medicare Baseline: 0.45x 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 |
|---|---|---|
| UnitedHealthcare | $68 | 37% |
| Health Partners Of Kansas | $77 | 42% |
| Wppa | $85 | 47% |
| Blue Cross Blue Shield | $87 | 48% |
Consumer Guidance & Cost Commentary
For this psychotherapy session at Osborne County Memorial Hospital, the cash price of $76.00 is notably lower than the facility's gross charge of $89.00 and sits below the state average. While the facility's negotiated rates with major payers like UnitedHealthcare ($68) and Health Partners Of Kansas ($77) are higher than the cash price, patients with high-deductible plans may find paying out-of-pocket initially more cost-effective if their insurance allowed amount exceeds the cash rate. It is important to note that the cash price of $76.00 is significantly lower than the Medicare benchmark of $181.34, suggesting a substantial discount relative to the federal cost baseline.
Patients should proactively inquire about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can further reduce the final bill by bypassing administrative claim processing fees. Although the facility is a Critical Access Hospital in Osborne County, KS, and is locally owned, the data does not provide a specific county or state average for comparison against the cash or negotiated rates. To ensure you are receiving the best possible rate, verify your specific plan's allowed amount and ask the billing department to classify your visit as self-pay to secure any available prompt-pay reductions before the service is rendered.