Psychotherapy session (45 minutes)
Facility: Mainehealth Pen Bay Hospital
Billing Code: 90834 (CPT)
This hospital's typical commercial price is $157 compared to the $160 fair price benchmark.
3-Star CMS clinical quality rating paired with 0.98× fair market pricing.
Highest price of the 9 ME hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 ME hospitals with a price for this procedure. Full list below.
A fair price for a Psychotherapy session (45 minutes) is about $160 (about 0.9× the $181 Medicare rate). Mainehealth Pen Bay Hospital charges insurers about $157, or about $416 in cash — about the fair price. Located in Rockport, ME.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
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 | $104 - $388 | 57% |
| Blue Cross Blue Shieldmajor | $91 - $755 | 50% |
| Aetnamajor | $88 - $365 | 49% |
| Cignamajor | $180 - $328 | 99% |
| Humanamajor | $104 - $156 | 57% |
| Harvard Pilgrim | $199 - $354 | 110% |
| WellCare | $93 - $160 | 51% |
| + 1 smaller / regional plan | $190 - $330 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Mainehealth Pen Bay Hospital
Compare: Psychotherapy session (45 minutes) at other ME hospitals
- Penobscot Valley Hospital · Lincoln $114
- Northern Light Mayo Hospital · Dover Foxcroft $119
- Northern Light Acadia Hospital · Bangor $133
- Lincolnhealth · Damariscotta $145
- Mainehealth Stephens Hospital · Norway $145
- Northern Light Blue Hill Memorial Hospital · Blue Hill $146
- Northern Light C A Dean Hospital · Greenville $146
- Northern Light Sebasticook Valley Hospital · Pittsfield $146
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Mainehealth Pen Bay Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $151
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $151).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Mainehealth Pen Bay Hospital's published 45 CFR § 180 self-pay cash rate is $416 (vs. $157 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $160 Fair BaseRate ($181 Medicare)
Your bill ($416) is $256 above the denoised Fair BaseRate ($160) and 2.3× the $181 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.