CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Boston Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $128
Cash Discount Price: $114
vs. Medicare Baseline: 0.71x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Boston Medical Center is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $114. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.71x the Medicare baseline. Located in 1 Boston Medical Center Place, Boston, MA.

Cash / Self-Pay

$114

Average discount available for prompt cash payment at this facility.

Insurance Median

$128

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: $114 (63%)

Insurance Median: $128 (71%)

Cash: $114 (63% of Medicare)

Ins. Median: $128 (71% 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
Tufts [8002]	$28 - $33	15%
Cigna	$33 - $216	18%
Medicaid / KanCare	$91	50%
Champva [9004]	$95	52%
Tricare	$95	52%
Uphams Corner Esp [1213]	$102	56%
Workers Comp [5002]	$109	60%
Zzzbu Employee Work Comp [5004]	$109	60%
Zzzcity Of Boston Work Comp [5003]	$109	60%
Aetna	$124	68%
Meritain Health [1023]	$124	68%
Harvard Pilgrim Health Care [8001]	$128	71%
Health Plans Inc [2027]	$128	71%
United [2025]	$128	71%
Zzzhealth Plans Inc [1013]	$128	71%
Zzzunited [1008]	$128	71%
Mass General Brigham Health Plan Commercial [8009]	$137	76%
Unicare [8004]	$190	105%
Wellpoint [2034]	$190	105%
Blue Cross Blue Shield	$260	143%
Tufts Conncare/Qhp [8020]	$431	238%
Hsn Bad Debt [4003]	$513	283%
Hsn Confidential [4007]	$513	283%
Hsn Dental [4006]	$513	283%
Hsn Partial [4002]	$513	283%
Hsn [4001]	$513	283%

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 $114.
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 Boston Medical Center 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.