CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: North Adams Regional Hospital Corporation

Billing Code: 90834 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$139

about 0.8× the $181 Medicare rate · typically $118–$156

modeled estimate · not a bill or quote

What this hospital charges insurers

$123

Below the fair price — a good deal

about $16 under the fair price · 0.7× Medicare

Medicare pays $181 Fair price $139 This hospital $123 Cash price $193 Hospital's list price $203

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

On the higher side — 6 of 8 other MA hospitals charge less.

Cheapest $40 Priciest $126

Black dot = this hospital, among the 9 MA hospitals with a price for this procedure. Full list below.

A fair price for a Psychotherapy session (45 minutes) is about $139 (about 0.8× the $181 Medicare rate). North Adams Regional Hospital Corporation charges insurers about $123, or about $193 in cash — below the fair price — a good deal. Located in North Adams, MA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$174	96%
Blue Cross Blue Shieldmajor	$46 - $172	25%
Aetnamajor	$128 - $153	71%
Cignamajor	$182 - $189	100%
CDPHP	$182 - $218	100%
MVP Health Care	$182	100%
Tufts Health Plan	$161	89%
UniCare	$131 - $168	72%
+ 21 smaller / regional plans	$46 - $227

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 193), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90834.

Insurance Before you use insurance

Call your insurance company to confirm North Adams Regional Hospital Corporation is in-network.
Ask your insurer whether prior approval is required for CPT code 90834.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at North Adams Regional Hospital Corporation

Compare: Psychotherapy session (45 minutes) at other MA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.