Psychotherapy session (45 minutes)
Facility: Bob Wilson Memorial Hospital
Billing Code: 90834 (CPT)
- CPT Billing Code: 90834
- Insurance Median: $134
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.74x 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 | $134 | 74% |
Consumer Guidance & Cost Commentary
For this psychotherapy session at Bob Wilson Memorial Hospital in Ulysses, KS, the facility's negotiated rate is $134.00, which aligns exactly with the lowest and highest reported prices from Blue Cross Blue Shield. This specific rate is significantly lower than the Medicare benchmark of $181.34, reflecting a 30% reduction relative to the federal baseline. While commercial negotiated rates often average 200% to 300% of Medicare, this facility's rate demonstrates a more transparent pricing structure that falls well within the range of fair pricing (120% to 150% of Medicare). Patients should note that while this is the contracted amount for in-network coverage, the facility's cash median and median paid amounts are not currently available, meaning out-of-pocket costs may vary depending on individual plan deductibles.
If you are paying out-of-pocket, it is important to verify if a cash-pay or self-pay discount is available before scheduling, as these rates can sometimes be lower than the insurance negotiated amount, especially for those with high-deductible plans. Since this is a Critical Access Hospital, you should explicitly ask the registration desk about "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid in full upfront. Additionally, because the No Surprises Act prohibits balance billing for emergency care and non-emergency services at in-network facilities, you can be confident that you will not be billed for the difference between the hospital's chargemaster and the insurance allowed amount. Always request a full, itemized bill before paying to ensure no unbundled codes or services not rendered are included in the final charge.