CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Memorial Hospital at Gulfport

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $249
Cash Discount Price: $511
vs. Medicare Baseline: 1.37x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Memorial Hospital at Gulfport is $249. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $511. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.37x the Medicare baseline. Located in 4500 13Th Street, Gulfport, MS.

Cash / Self-Pay

$511

Average discount available for prompt cash payment at this facility.

Insurance Median

$249

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: $511 (282%)

Insurance Median: $249 (137%)

Cash: $511 (282% of Medicare)

Ins. Median: $249 (137% 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
Sas Mhg	$109 - $445	60%
UnitedHealthcare	$118 - $331	65%
Magnolia Health	$120 - $204	66%
Molina	$122 - $218	67%
Cigna	$131 - $617	72%
Blue Cross Blue Shield	$151 - $228	83%
Humana	$153 - $525	84%
Aetna	$249	137%
First Choice	$253 - $525	140%
Sas Non-Mhg	$253	140%
Fox Everett	$265	146%
Mhg	$266	147%
Primewell	$327	180%
First Health	$525	290%
Mpcn	$547	302%

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 $511.
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 Memorial Hospital at Gulfport 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.