Psychotherapy session (45 minutes)
Facility: Amberwell Atchison Association
Billing Code: 90834 (CPT)
- CPT Billing Code: 90834
- Insurance Median: $215
- Cash Discount Price: $420
- vs. Medicare Baseline: 1.19x 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 | $95 - $100 | 52% |
| Va Ccn - All Plans | $139 | 77% |
| Humana | $139 - $189 | 77% |
| Triwest - All Plans | $139 | 77% |
| Superior Select Mcr Adv - All Plans | $139 | 77% |
| UnitedHealthcare | $139 - $754 | 77% |
| Ambetter / Centene | $215 | 119% |
| Cigna | $231 | 127% |
| Aetna | $231 | 127% |
| Centrus Health Direct - All Plans | $315 | 174% |
| Oscar - All Plans | $315 | 174% |
| Multiplan - All Plans | $328 | 181% |
| Wppa Providrs Care - All Plans | $378 | 208% |
Consumer Guidance & Cost Commentary
For this psychotherapy session at Amberwell Atchison Association, the cash price is $420.00, which matches the facility's median cash rate. While the Medicare benchmark for this service is $181.34, indicating a significant markup relative to the federal baseline, patients with high-deductible plans may find paying the full cash price more cost-effective than using insurance. This is because the median negotiated rate paid by insurers is $223.00, yet many commercial plans will only cover a portion of that amount after deductibles and co-pays are applied, potentially leaving the patient responsible for a balance that exceeds the cash price. To minimize out-of-pocket costs, it is advisable to contact the facility directly to confirm if "self-pay" or "prompt-pay" discounts are available, as these upfront payment incentives can further reduce the final bill.
The facility is located in Atchison, Kansas, and is a Critical Access Hospital owned by a voluntary non-profit. While specific county or state average data for this CPT code was not provided in the report, the facility's pricing structure is anchored by the Medicare rate of $181.34, which serves as the objective standard for evaluating commercial markups. Patients should be aware that balance billing is generally prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act, though unexpected charges can still occur from out-of-network ancillary services like labs or emergency physicians. If a patient receives a bill that appears to include charges for services not rendered or items that were cancelled, they should request a formal itemized audit to identify errors before making any payments, as over 80% of hospital bills contain