CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Carolinas Medical Center/Behav Health

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $113
  • Cash Discount Price: $94
  • vs. Medicare Baseline: 0.62x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Carolinas Medical Center/Behav Health is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.62x the Medicare baseline. Located in 1000 Blythe Blvd, Charlotte, NC.
Cash / Self-Pay
$94

Average discount available for prompt cash payment at this facility.

Insurance Median
$113

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: $94 (52%)
Insurance Median: $113 (62%)
Cash: $94 (52% of Medicare)
Ins. Median: $113 (62% 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
Aetna $36 - $217 20%
Blue Cross Blue Shield $36 - $193 20%
Cigna $36 - $178 20%
Humana $36 - $186 20%
Alliance $41 - $62 23%
Amerihealth Caritas $41 - $61 23%
Partners $41 - $60 23%
Sandhills $41 - $60 23%
Carolina Complete Health $42 - $188 23%
Healthy Blue $42 - $61 23%
Vaya $42 - $61 23%
Wellcare $42 - $61 23%
Trillium $43 - $61 24%
Molina $53 29%
Ambetter / Centene $55 - $143 30%
Medcost $58 - $214 32%
UnitedHealthcare $61 - $211 34%
Employers Health Network $83 - $158 46%
Physician Reach Out $94 - $113 52%
United $104 57%
Ortho Carolina $112 - $201 62%
Magellan $113 62%
Gmmi $122 - $170 67%
Quik Trip $122 - $170 67%
Carolina Behavioral Health $135 - $150 74%
Choicecare $135 - $155 74%
First Health $150 - $199 83%
Healthgram $150 - $172 83%
Private Health Care Systems $150 - $186 83%
Provider Select $152 - $183 84%
Lifesynch Community Choice Care $154 - $186 85%
Beechstreet $164 - $204 90%
Multiplan $169 - $181 93%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Blythe Blvd, Charlotte, NC 28203
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals