CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Boston Children's Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $353
  • Cash Discount Price: $500
  • vs. Medicare Baseline: 1.95x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Boston Children's Hospital is $353. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $500. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.95x the Medicare baseline. Located in 300 Longwood Avenue, Boston, MA.
Cash / Self-Pay
$500

Average discount available for prompt cash payment at this facility.

Insurance Median
$353

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: $500 (276%)
Insurance Median: $353 (195%)
Cash: $500 (276% of Medicare)
Ins. Median: $353 (195% 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
Cdphp $188 - $523 104%
Harvard Pilgrim $195 - $416 108%
Blue Cross Blue Shield $217 - $406 120%
Aetna $230 - $516 127%
United $230 - $514 127%
Mgb/Allways $234 - $455 129%
Tufts Public Plan $236 - $379 130%
United Ri Nj Ny $242 - $387 133%
Ambetter / Centene $243 - $389 134%
Carelon Strategies/Bhs $250 - $400 138%
UnitedHealthcare $250 - $523 138%
Carelon/Beacon $288 - $461 159%
Fallon $293 - $474 162%
Health New England $310 - $497 171%
Cigna $326 - $615 180%
Ets/Lifetrac $326 - $523 180%
Interlink Transplant $326 - $523 180%
Community Health Options $346 - $554 191%
Humana $346 - $554 191%
Coventry/Hcvm/First Health $353 - $566 195%
Multiplan/Phcs $353 - $584 195%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Longwood Avenue, Boston, MA 02115
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens