CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Medstar Franklin Square Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $255
  • Cash Discount Price: $250
  • vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Medstar Franklin Square Medical Center is $255. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $250. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.41x the Medicare baseline. Located in 9000 Franklin Square Drive, Rosedale, MD.
Cash / Self-Pay
$250

Average discount available for prompt cash payment at this facility.

Insurance Median
$255

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: $250 (138%)
Insurance Median: $255 (141%)
Cash: $250 (138% of Medicare)
Ins. Median: $255 (141% 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
Aetna $255 141%
Amerigroup $255 141%
Amerihealth Caritas District Of Columbia $255 141%
Carefirst Advantage Inc $255 141%
Carefirst Blue Choice Inc $255 141%
Cigna $255 141%
First Health $255 141%
Hscsn $255 141%
Humana $255 141%
Kaiser Permanente $255 141%
Magellan Behavioral Health Inc $255 141%
Mamsi $255 141%
Medstar Family Choice $255 141%
Medstar Family Choice Inc $255 141%
Ncppo Healthlink Ppo $255 141%
Pfc $255 141%
Private Healthcare Systems (Phcs) $255 141%
Tricare $255 141%
United Behavioral Health Inc $255 141%
UnitedHealthcare $255 141%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9000 Franklin Square Drive, Rosedale, MD 21237
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals