CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Fairview Bethesda Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $278
  • Cash Discount Price: $206
  • vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Fairview Bethesda Hospital is $278. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $206. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.53x the Medicare baseline. Located in 45 10Th St W, Saint Paul, MN.
Cash / Self-Pay
$206

Average discount available for prompt cash payment at this facility.

Insurance Median
$278

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: $206 (114%)
Insurance Median: $278 (153%)
Cash: $206 (114% of Medicare)
Ins. Median: $278 (153% 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
Medica $75 - $406 41%
Health Partners $79 - $437 44%
Itasca Medical Care $79 - $160 44%
Primewest $79 - $160 44%
South Country Health Alliance $79 - $160 44%
Blue Cross Blue Shield $80 - $331 44%
Ucare $81 - $368 45%
UnitedHealthcare $84 - $410 46%
Sanford Health Plan $89 - $330 49%
Security Health Plan $89 - $421 49%
Wellcare $89 - $160 49%
Hennepin Health $90 - $162 50%
America'S Ppo $196 - $404 108%
First Health $297 - $460 164%
Multiplan $308 - $477 170%
Private Healthcare Systems $308 - $477 170%
Wisconsin Physician Services $326 - $505 180%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 45 10Th St W, Saint Paul, MN 55102
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL