CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Sanford Medical Center Bismarck

Billing Code: 90834 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$165

about 0.9× the $181 Medicare rate · typically $150–$167

modeled estimate · not a bill or quote

What this hospital charges insurers

$165

About the fair price

0.9× Medicare

Medicare pays $181 Fair price $165 This hospital $165 Cash price $258 Hospital's list price $323

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

One of the lower prices — 4 of 7 other ND hospitals charge more for the same procedure.

Cheapest $84 Priciest $619

Black dot = this hospital, among the 8 ND hospitals with a price for this procedure. Full list below.

A fair price for a Psychotherapy session (45 minutes) is about $165 (about 0.9× the $181 Medicare rate). Sanford Medical Center Bismarck charges insurers about $165, or about $258 in cash — about the fair price. Located in Bismarck, ND.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$69 - $630	38%
Blue Cross Blue Shieldmajor	$68 - $699	37%
Aetnamajor	$69 - $656	38%
Cignamajor	$291 - $585	160%
Health Net	$167 - $680	92%
HealthPartners	$69 - $589	38%
Medica	$145 - $666	80%
Sanford Health Plan	$64 - $701	35%
Security Health Plan	$102 - $415	56%
UCare	$68 - $663	37%
+ 2 smaller / regional plans	$70 - $680

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 258), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90834.

Insurance Before you use insurance

Call your insurance company to confirm Sanford Medical Center Bismarck is in-network.
Ask your insurer whether prior approval is required for CPT code 90834.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Sanford Medical Center Bismarck

Compare: Psychotherapy session (45 minutes) at other ND hospitals

Insurance negotiated median for the same procedure, sorted lowest first.