CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: St Joseph's University Medical Center Inc

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $211
  • Cash Discount Price: $540
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at St Joseph's University Medical Center Inc is $211. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $540. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.16x the Medicare baseline. Located in 703 Main St, Paterson, NJ.
Cash / Self-Pay
$540

Average discount available for prompt cash payment at this facility.

Insurance Median
$211

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: $540 (298%)
Insurance Median: $211 (116%)
Cash: $540 (298% of Medicare)
Ins. Median: $211 (116% 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.

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
Fidelis Care of New Jersey $67 - $221 37%
UnitedHealthcare $74 - $346 41%
Aetna $98 - $430 54%
Ambetter / Centene $98 - $316 54%
Amerihealth $98 - $344 54%
Clover Health $98 - $211 54%
Horizon New Jersey Total Care $98 - $211 54%
Wellpoint $98 - $211 54%
Blue Cross Blue Shield $108 - $600 60%
Amerihealth Behavioral Health $135 74%
Multiplan $147 - $405 81%
Horizon New Jersey Health $167 - $247 92%
Private Healthcare Systems $189 - $351 104%
Consumer Health Network $218 - $486 120%
Longevity Health Plan $242 133%
Cigna $291 - $540 160%
Oxford $346 191%
Magnacare $378 208%
Oscar $509 281%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 703 Main St, Paterson, NJ 07503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals