CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: SSM St Joseph Hospital West

Billing Code: 90834 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$188

about 1.0× the $181 Medicare rate · typically $136–$222

modeled estimate · not a bill or quote

What this hospital charges insurers

$181

About the fair price

about $7 under the fair price · 1.0× Medicare

Medicare pays $181 Fair price $188 This hospital $181 Cash price $159 Hospital's list price $290

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

Highest price of the 9 MO hospitals we have prices for — worth calling around.

Cheapest $83 Priciest $181

Black dot = this hospital, among the 9 MO hospitals with a price for this procedure. Full list below.

A fair price for a Psychotherapy session (45 minutes) is about $188 (about 1.0× the $181 Medicare rate). SSM St Joseph Hospital West charges insurers about $181, or about $159 in cash — about the fair price. Located in Lake Saint Louis, MO.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

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	$180	99%
Blue Cross Blue Shieldmajor	$88 - $484	49%
Aetnamajor	$178 - $184	98%
Humanamajor	$181	100%
Oscar Health	$213	117%

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 159), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90834.

Insurance Before you use insurance

Call your insurance company to confirm SSM St Joseph Hospital West is in-network.
Ask your insurer whether prior approval is required for CPT code 90834.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at SSM St Joseph Hospital West

Compare: Psychotherapy session (45 minutes) at other MO hospitals

Insurance negotiated median for the same procedure, sorted lowest first.