CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: M Health Fairview Ridges Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $300
Cash Discount Price: $204
vs. Medicare Baseline: 1.65x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at M Health Fairview Ridges Hospital is $300. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $204. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.65x the Medicare baseline. Located in 201 East Nicollet Boulevard, Burnsville, MN.

Cash / Self-Pay

$204

Average discount available for prompt cash payment at this facility.

Insurance Median

$300

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: $204 (112%)

Insurance Median: $300 (165%)

Cash: $204 (112% of Medicare)

Ins. Median: $300 (165% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medica	$75 - $411	41%
Blue Cross Blue Shield	$77 - $308	42%
Health Partners	$79 - $362	44%
Itasca Medical Care	$79 - $156	44%
Primewest	$79 - $156	44%
South Country Health Alliance	$79 - $156	44%
Ucare	$81 - $359	45%
Sanford Health Plan	$89 - $330	49%
Security Health Plan	$89 - $421	49%
UnitedHealthcare	$89 - $307	49%
Wellcare	$89 - $156	49%
Hennepin Health	$90 - $162	50%
America'S Ppo	$196 - $404	108%
First Health	$309 - $460	170%
Multiplan	$320 - $477	176%
Private Healthcare Systems	$320 - $477	176%
Wisconsin Physician Services	$339 - $505	187%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $204.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90834.

Insurance In-Network Protection Plan

Contact your insurance company to confirm M Health Fairview Ridges Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90834.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.