CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Hunterdon Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $260
Cash Discount Price: $121
vs. Medicare Baseline: 1.43x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Hunterdon Medical Center is $260. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $121. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.43x the Medicare baseline. Located in 2100 Wescott Drive, Flemington, NJ.

Cash / Self-Pay

$121

Average discount available for prompt cash payment at this facility.

Insurance Median

$260

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: $121 (67%)

Insurance Median: $260 (143%)

Cash: $121 (67% of Medicare)

Ins. Median: $260 (143% 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
Multiplan	$20 - $511	11%
Community Care	$21 - $543	12%
Aetna	$125 - $349	69%
Cigna	$163 - $222	90%
Horizon	$174 - $264	96%
Oxford	$224 - $271	124%
Amerihealth	$260 - $314	143%
Qualcare	$260 - $314	143%
Phcs	$295 - $356	163%

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 $121.
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 Hunterdon 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.