CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Berkshire Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $153
Cash Discount Price: $193
vs. Medicare Baseline: 0.84x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Berkshire Medical Center is $153. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $193. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.84x the Medicare baseline. Located in 725 North Street, Pittsfield, MA.

Cash / Self-Pay

$193

Average discount available for prompt cash payment at this facility.

Insurance Median

$153

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: $193 (106%)

Insurance Median: $153 (84%)

Cash: $193 (106% of Medicare)

Ins. Median: $153 (84% 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
Fallon	$89 - $269	49%
Other Government	$107 - $228	59%
Cdphp	$108 - $182	60%
Health New England	$108 - $230	60%
Mbhp	$108	60%
Mcd Out Of State	$108	60%
Medicaid / KanCare	$108	60%
Blue Cross Blue Shield	$110 - $235	61%
Comm Tufts Qhpsub (Network)	$115 - $123	63%
Medicare (plans)	$115 - $224	63%
Point32Health	$115 - $193	63%
Hospice	$117 - $228	65%
UnitedHealthcare	$117 - $228	65%
Commcare Alliance	$120 - $269	66%
Workers Comp	$123	68%
Aetna	$128 - $153	71%
Allways Nhp	$131	72%
Unicare	$131 - $168	72%
Bmchnp	$140	77%
Comm Hne Hmo	$140 - $183	77%
Comm Hne Ppo	$149 - $195	82%
Beacon	$172 - $182	95%
Cigna	$182 - $189	100%
Mvp	$182	100%
Oxford	$182	100%
First Health	$189 - $193	104%
Connecticare	$193	106%
Consolidated Health Plans	$193	106%
Other Commercial	$193	106%
Phcs	$193	106%
Self Pay	$193	106%

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 $193.
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 Berkshire 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.