Psychotherapy session (45 minutes)
Facility: Fredonia Regional Hospital
Billing Code: 90834 (CPT)
- CPT Billing Code: 90834
- Insurance Median: $97
- Cash Discount Price: $234
- vs. Medicare Baseline: 0.53x 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 | $86 - $239 | 47% |
| Veterans Programs - All Plans | $91 - $186 | 50% |
| Aetna | $91 - $328 | 50% |
| UnitedHealthcare | $91 - $328 | 50% |
| Meritain-All Plans | $94 - $328 | 52% |
| Reserve National-All Plans | $94 - $328 | 52% |
| Cigna | $94 - $328 | 52% |
Consumer Guidance & Cost Commentary
For this psychotherapy session at Fredonia Regional Hospital in Kansas, the cash price of $234.00 is significantly higher than the state average, which is reflected in the facility's median negotiated rate of $97.00. While commercial payers like Blue Cross Blue Shield and Aetna have negotiated rates ranging from $86 to $328, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket. It is important to note that the cash price of $234.00 matches the facility's cash median, and while the Medicare amount of $181.34 serves as a benchmark, commercial rates can vary widely depending on the specific insurance plan and its contract terms.
Patients should proactively ask the hospital about "prompt-pay" discounts before scheduling, as paying in full upfront can sometimes reduce the final bill by 20% to 50%. If you choose to use insurance, be aware that the facility is a Critical Access Hospital with government local ownership, and while the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, unexpected charges can still occur if ancillary services are not covered. To ensure you receive the most accurate pricing, request an itemized bill that lists every CPT code and service rendered, and do not accept summary invoices that may hide errors or unbundled charges.