CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: The Children's Mercy Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $137
  • Cash Discount Price: $125
  • vs. Medicare Baseline: 0.76x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at The Children's Mercy Hospital is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $125. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.76x the Medicare baseline. Located in 2401 Gillham Road, Kansas City, MO.
Cash / Self-Pay
$125

Average discount available for prompt cash payment at this facility.

Insurance Median
$137

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: $125 (69%)
Insurance Median: $137 (76%)
Cash: $125 (69% of Medicare)
Ins. Median: $137 (76% 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
UnitedHealthcare $81 - $168 45%
Healthy Blue $86 - $127 47%
Medicaid / KanCare $87 48%
Healthlink $102 56%
Wppa Providrs Care $119 66%
Health Midwest Comprehensive Care $120 66%
Home State Health $127 70%
American Healthcare Alliance $130 72%
Blue Cross Blue Shield $137 76%
Medica $152 84%
Humana $153 84%
Orscheln $155 85%
Nebraska Furniture Mart $157 87%
Wellfit/Centrus $166 92%
Cigna $168 93%
Centivo $171 94%
Mercy Health $191 105%
Coxhealth Network $193 106%
National Preferred Provider Network $230 127%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2401 Gillham Road, Kansas City, MO 64108
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens