CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: T J Samson Community Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $180
Cash Discount Price: $180
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at T J Samson Community Hospital is $180. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $180. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.99x the Medicare baseline. Located in 1301 North Race Street, Glasgow, KY.

Cash / Self-Pay

$180

Average discount available for prompt cash payment at this facility.

Insurance Median

$180

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)

Cash / Self-Pay: $180 (99%)

Insurance Median: $180 (99%)

Cash: $180 (99% of Medicare)

Ins. Median: $180 (99% of 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$63 - $217	35%
Humana	$63 - $217	35%
Molina Mcaid	$65 - $224	36%
Blue Cross Blue Shield	$76 - $247	42%
Center Care Select - All Plans	$91 - $247	50%
Signature Health - All Plans	$91 - $182	50%
Wellcare Mcr Adv - All Other Plans	$91 - $180	50%
Molina Mcr Adv	$93 - $184	51%
Devoted Mcr Adv - All Plans	$96 - $189	53%
Caresource - All Plans	$119 - $271	66%
Molina Marketplace - All Other Plans	$119 - $271	66%
Wellcare Mcaid	$177 - $217	98%
Phcs/Multiplan - All Plans	$260 - $274	143%
First Health - All Plans	$263 - $276	145%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $180.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90834.

Insurance In-Network Protection Plan

Contact your insurance company to confirm T J Samson Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90834.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.