CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Stanly Regional Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $125
  • Cash Discount Price: $94
  • vs. Medicare Baseline: 0.69x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Stanly Regional Medical Center is $125. 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 0.69x the Medicare baseline. Located in 301 Yadkin St, Albemarle, NC.
Cash / Self-Pay
$94

Average discount available for prompt cash payment at this facility.

Insurance Median
$125

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: $125 (69%)
Cash: $94 (52% of Medicare)
Ins. Median: $125 (69% 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
Alliance $23 - $62 13%
Amerihealth Caritas $23 - $61 13%
Carolina Complete Health $23 - $61 13%
Healthy Blue $23 - $61 13%
Partners $23 - $61 13%
Trillium $23 - $60 13%
Vaya $23 - $61 13%
Wellcare $23 - $61 13%
UnitedHealthcare $33 - $211 18%
Aetna $50 - $217 28%
Ambetter / Centene $58 - $143 32%
Blue Cross Blue Shield $74 - $193 41%
Cigna $81 - $178 45%
Employers Health Network $83 - $158 46%
Humana $91 - $156 50%
Physician Reach Out $94 - $113 52%
Magellan $113 62%
Medcost $120 - $214 66%
Gmmi $122 - $170 67%
Quik Trip $122 - $170 67%
Carolina Behavioral Health $135 - $150 74%
Choicecare $155 - $177 85%
First Health $169 - $204 93%
Healthgram $169 - $172 93%
Lifesynch Community Choice Care $177 - $213 98%
Multiplan $177 - $181 98%
Private Health Care Systems $177 - $213 98%
Beechstreet $180 - $204 99%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 Yadkin St, Albemarle, NC 28001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals