CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: North Carolina Baptist Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $52
  • Cash Discount Price: $75
  • vs. Medicare Baseline: 0.29x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at North Carolina Baptist Hospital is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.29x the Medicare baseline. Located in Medical Center Boulevard, Winston-Salem, NC.
Cash / Self-Pay
$75

Average discount available for prompt cash payment at this facility.

Insurance Median
$52

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: $75 (41%)
Insurance Median: $52 (29%)
Cash: $75 (41% of Medicare)
Ins. Median: $52 (29% 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
Medcost $29 - $102 16%
Blue Cross Blue Shield $30 - $156 17%
Alliance $33 - $35 18%
Amerihealth $33 - $41 18%
Carolina Complete $33 - $35 18%
Health Blue $33 - $35 18%
Partners $33 - $35 18%
UnitedHealthcare $33 - $156 18%
Vaya $33 - $35 18%
Wellcare $33 - $156 18%
Aetna $34 - $156 19%
Trillium $34 - $36 19%
Ambetter / Centene $39 - $41 22%
Cigna $44 - $156 24%
Oscar $44 - $55 24%
Humana $79 - $157 44%
Directnet $86 - $90 47%
Cone Health $102 - $107 56%
Healthgram $102 - $107 56%
First Carolina Care $116 - $122 64%
Private Healthcare Systems $119 - $125 66%
Multiplan $130 - $138 72%
Apex $156 86%
Devoted $156 86%
Healthteam $156 86%
Medicare (plans) $157 87%
Liberty $179 99%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Medical Center Boulevard, Winston-Salem, NC 27157
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals