CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: University Medical Center of Princeton at Plainsboro

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $464
  • Cash Discount Price: $668
  • vs. Medicare Baseline: 2.56x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at University Medical Center of Princeton at Plainsboro is $464. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $668. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 2.56x the Medicare baseline. Located in One-Five Plainsboro Road, Plainsboro, NJ.
Cash / Self-Pay
$668

Average discount available for prompt cash payment at this facility.

Insurance Median
$464

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: $668 (368%)
Insurance Median: $464 (256%)
Cash: $668 (368% of Medicare)
Ins. Median: $464 (256% 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 256% of the Medicare baseline (a markup of 156%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Amerihealth $66 36%
Magellan $66 36%
Charity Care $79 44%
Horizon Nj Health $79 44%
Medicaid / KanCare $79 - $668 44%
Wellcare $79 44%
Aetna $81 - $556 45%
Blue Cross Blue Shield $134 - $502 74%
Preferred Health Care Eliance $174 96%
Tricare $200 110%
Medicare (plans) $202 - $223 111%
Va Medical Center $202 111%
Cigna $208 - $253 115%
Clover Health Plan $215 119%
Humana $219 121%
Us Family Health Plan $230 127%
Horizon Behavioral Health $250 138%
Elap $287 - $364 158%
Beacon Health Options $334 184%
Centivo $364 201%
Claim Watcher $364 201%
Magnacare $401 - $468 221%
Coventry $468 258%
Health Net $468 258%
UnitedHealthcare $501 276%
Beech Street $534 - $568 294%
Intergrated Health Plan $534 294%
Intergroup $534 294%
Penn Global Medicine Embassy Only $534 294%
Princeton Theological Seminary $534 294%
Allied Trades $568 313%
Consumer Health Network $568 313%
Devon Health Services $568 313%
First Managed Care Option $568 313%
Ie Shaffer $568 313%
Private Healthcare Systems $568 313%
Qualcare $568 313%
Total Care Network $568 313%
Tri-State $568 313%
Commercial Other $668 368%
Compsych $668 368%
Concern Plus $668 368%
International Pfs $668 368%
Life St. Francis $668 368%
Managed Health Network $668 368%
Nj Carpenters $668 368%
Penn Behavioral Health Corporate Services $668 368%
Personnel Health Program $668 368%
United Behavioral Health $668 368%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One-Five Plainsboro Road, Plainsboro, NJ 08536
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals