Psychotherapy session (45 minutes)
Facility: Minneola District Hospital
Billing Code: 90834 (CPT)
- CPT Billing Code: 90834
- Insurance Median: $142
- Cash Discount Price: $111
- vs. Medicare Baseline: 0.78x 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 | $100 | 55% |
| Humana | $106 | 58% |
| UnitedHealthcare | $106 - $158 | 58% |
| Va Community Care Program-All Plans | $106 | 58% |
| Providrs Care Network-All Plans | $134 | 74% |
| Corporate Plan Management-All Plans | $134 | 74% |
| Preferred Health Care (Coventry)-All Other Plans | $142 | 78% |
| Triwest-All Plans | $142 | 78% |
| Aetna | $150 - $158 | 83% |
| Phc (Coventry) Leased Network | $150 | 83% |
| Health Partners Of Kansas-All Plans | $150 | 83% |
| Medicaid / KanCare | $158 | 87% |
Consumer Guidance & Cost Commentary
For the psychotherapy session (45 minutes) at Minneola District Hospital, the facility's cash median rate of $111.00 is significantly lower than the state average of $142.00. While the hospital is a Critical Access Hospital in Kansas owned by a Government Hospital District, patients with high-deductible plans may find paying the cash price upfront more cost-effective than relying on insurance, as the negotiated rates for major payers like UnitedHealthcare and Aetna range from $106 to $158. To maximize savings, consumers should explicitly request a self-pay classification and prompt-pay discount before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50% by bypassing administrative claim processing fees.
Although the facility's cash rate is lower than the state median, it is important to note that the hospital's gross charge of $158.00 exceeds the Medicare benchmark of $181.34, indicating that the cash price represents a substantial discount relative to the facility's full list price. If you have insurance, be aware that while the facility is in-network for many plans, the allowed amounts vary widely, with some payers capping payments at $100 while others allow up to $158. Before finalizing payment, always demand a full itemized CPT-coded bill to verify that no services were unbundled or double-charged, as over 80% of hospital bills contain errors that can be corrected through a formal written audit dispute.