CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: North Adams Regional Hospital Corporation

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $131
  • Cash Discount Price: $193
  • vs. Medicare Baseline: 0.72x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at North Adams Regional Hospital Corporation is $131. 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 0.72x the Medicare baseline. Located in 71 Hospital Avenue, North Adams, MA.
Cash / Self-Pay
$193

Average discount available for prompt cash payment at this facility.

Insurance Median
$131

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: $131 (72%)
Cash: $193 (106% of Medicare)
Ins. Median: $131 (72% 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.

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
Blue Cross Blue Shield $46 - $172 25%
Mcrmanaged Cca One Care $46 - $132 25%
Medicare (plans) $46 - $123 25%
Comm Hospice $47 - $117 26%
Mcr Miscellaneous $47 - $117 26%
Mcrmanaged Usa Family $47 - $117 26%
Mcrmanaged Va $47 - $117 26%
Medicaid / KanCare $47 - $218 26%
Tricare $76 - $107 42%
Mcd New York $108 60%
Comm Fallon Qhp $115 - $139 63%
Comm Network Qhpsub $115 - $123 63%
Mcdmanaged Network $115 - $124 63%
Oth United Vaccn $117 65%
Wc Workers Comp $123 68%
Aetna $128 - $153 71%
Comm Network Qhpnonsub $130 - $146 72%
Comm Nhp $131 72%
Comm Unicare $131 - $168 72%
Comm Hne Hmo $140 - $183 77%
Comm Hne $148 - $195 82%
Comm Hne Ppo $149 - $195 82%
Comm Tufts $161 89%
UnitedHealthcare $174 96%
Cigna $182 - $189 100%
Comm Cdphp $182 100%
Comm Mvp $182 100%
Comm Oxford $182 100%
Comm First Health $189 - $193 104%
Comm Connecticare $193 106%
Comm Consolidated Health $193 106%
Comm Harvard $193 106%
Comm Other $193 106%
Comm Phcs $193 106%
Comm Self Pay $193 106%
Mcd Masshealth $218 120%
Mcd Out Of State $218 120%
Mcdmanaged Cdphp $218 120%
Mcdmanaged Hne Mcdaco $218 120%
Mcdmanaged Bmchnp $227 125%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 71 Hospital Avenue, North Adams, MA 01247
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Federal
  • Hospital Type: Critical Access Hospitals