CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Parkland Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $594
Cash Discount Price: $1,181
vs. Medicare Baseline: 3.28x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Parkland Medical Center is $594. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,181. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 3.28x the Medicare baseline. Located in 1 Parkland Drive, Derry, NH.

Cash / Self-Pay

$1,181

Average discount available for prompt cash payment at this facility.

Insurance Median

$594

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: $1,181 (651%)

Insurance Median: $594 (328%)

Cash: $1,181 (651% of Medicare)

Ins. Median: $594 (328% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 328% of the Medicare baseline (a markup of 228%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Amerihealth Caritas	$32 - $41	18%
Well Sense Health Plan	$77 - $100	42%
Harvard Pilgrim	$197 - $600	109%
United	$216 - $809	119%
Maine Community Health	$322 - $706	178%
Cigna	$375 - $561	207%
Blue Cross Blue Shield	$450 - $582	248%
Tufts Health Plan	$589 - $785	325%
Aetna	$612 - $890	337%
Mvp Health Plan	$720 - $933	397%
Corvel	$741 - $960	409%
Evernorth	$823 - $1,066	454%
Healthcare Value Mgmt	$864 - $1,120	476%
First Health	$875 - $1,133	483%
Oxford Health Plans	$978 - $1,266	539%

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 $1,181.
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 Parkland Medical Center 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.