CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Vidant Chowan Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $267
Cash Discount Price: $236
vs. Medicare Baseline: 1.47x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Vidant Chowan Hospital is $267. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $236. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.47x the Medicare baseline. Located in 211 Virginia Rd, Edenton, NC.

Cash / Self-Pay

$236

Average discount available for prompt cash payment at this facility.

Insurance Median

$267

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: $236 (130%)

Insurance Median: $267 (147%)

Cash: $236 (130% of Medicare)

Ins. Median: $267 (147% 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
Blue Cross Blue Shield	$127 - $256	70%
Carolina Complete Health [1317]	$128	71%
Amerihealth McAid Adv [1316]	$129	71%
Wellcare [1320]	$129	71%
Humana	$131	72%
UnitedHealthcare	$142 - $260	78%
Liberty Advantage [1313]	$146	81%
Aetna	$151 - $345	83%
Longevity Health [1411]	$181	100%
Nc Dept of Public Safety [1095]	$236	130%
Medcost [1067]	$267 - $281	147%
Cigna	$359 - $401	198%
Multiplan [1031]	$401	221%

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 $236.
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 Vidant Chowan Hospital 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.