CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Novant Health Presbyterian Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $215
  • Cash Discount Price: $173
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Novant Health Presbyterian Medical Center is $215. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $173. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.19x the Medicare baseline. Located in 200 Hawthorne Lane Box 33549, Charlotte, NC.
Cash / Self-Pay
$173

Average discount available for prompt cash payment at this facility.

Insurance Median
$215

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: $173 (95%)
Insurance Median: $215 (119%)
Cash: $173 (95% of Medicare)
Ins. Median: $215 (119% 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
Carolina Complete $60 33%
Nc Department Of Public Safety $60 - $345 33%
Amerihealth $61 - $62 34%
Blue Cross Blue Shield $61 - $250 34%
UnitedHealthcare $61 - $203 34%
Wellcare $61 - $62 34%
Caresource North Carolina $114 - $115 63%
Atlantic Corporation Dba Atlantic Packaging $158 - $160 87%
Humana $172 - $250 95%
Pace Of The Southern Piedmont $172 95%
Aetna $177 - $278 98%
Cigna $177 - $179 98%
Liberty Health $181 100%
Amps $189 - $191 104%
Plotkin Health $206 - $208 114%
Medcost $244 - $260 135%
Primary Physician Care $255 - $257 141%
Multiplan $258 - $260 142%
Phcs $258 - $260 142%
Employers Choice Network $334 - $337 184%
Three Rivers Provider Network $334 - $337 184%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Hawthorne Lane Box 33549, Charlotte, NC 28233
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals