CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Ocean Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $321
  • Cash Discount Price: $168
  • vs. Medicare Baseline: 1.77x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Ocean Medical Center is $321. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $168. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.77x the Medicare baseline. Located in 425 Jack Martin Blvd, Brick, NJ.
Cash / Self-Pay
$168

Average discount available for prompt cash payment at this facility.

Insurance Median
$321

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: $168 (93%)
Insurance Median: $321 (177%)
Cash: $168 (93% of Medicare)
Ins. Median: $321 (177% 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
Aetna $77 - $485 42%
Clover $97 53%
Seoul Medical Group $98 - $105 54%
Karna $147 - $151 81%
Qualcare $148 - $474 82%
Blue Cross Blue Shield $154 - $176 85%
Amerigroup $161 89%
Horizon $161 - $445 89%
Vaccn $161 - $176 89%
Wellcare $161 - $176 89%
United Community/Americhoice $169 - $184 93%
UnitedHealthcare $211 - $851 116%
Activecare First McO $320 - $458 176%
Intergroup $320 176%
Oxford $354 - $633 195%
Cigna $366 - $515 202%
Prime Health $366 202%
Multiplan - PHCS $388 - $458 214%
Bergen Risk $404 223%
Amerihealth $463 - $525 255%
Brighton Health Plan $485 267%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 425 Jack Martin Blvd, Brick, NJ 08724
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals