CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: The Children's Mercy Hospital

Billing Code: 90834 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$132

about 0.7× the $181 Medicare rate · typically $82–$235

modeled estimate · not a bill or quote

What this hospital charges insurers

$137

About the fair price

about $5 over the fair price · 0.8× Medicare

Medicare pays $181 Fair price $132 This hospital $137 Cash price $125 Hospital's list price $261

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 $137

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 $132 (about 0.7× the $181 Medicare rate). The Children's Mercy Hospital charges insurers about $137, or about $125 in cash — about the fair price. Located in Kansas City, 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✓ Cigna✓ Humana AetnaKaiser 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	$81 - $168	45%
Blue Cross Blue Shieldmajor	$137	76%
Cignamajor	$168	93%
Humanamajor	$153	84%
Health Net	$193	106%
HealthLink	$102	56%
Medica	$152	84%
+ 10 smaller / regional plans	$86 - $191

Government programs also on file: Medicaid.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 125), 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 The Children's Mercy Hospital 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 The Children's Mercy Hospital

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

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