CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $507
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 2.80x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Atlanticare Regional Medical Center - City Campus is $507. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 2.80x the Medicare baseline. Located in 1925 Pacific Avenue, Atlantic City, NJ.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$507

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%)
Insurance Median: $507 (280%)
Ins. Median: $507 (280% 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 280% of the Medicare baseline (a markup of 180%). 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
Americhoice $84 46%
UnitedHealthcare $84 - $462 46%
Horizon $90 - $455 50%
Wellcare $90 50%
Self Pay $98 54%
Tricare $161 89%
Amerigroup $169 93%
Devoted Health Plan $206 114%
Magnacare $260 - $585 143%
Cigna $273 - $328 151%
Global Exchange Managed Care $300 165%
Qualcare Commercial $325 179%
Great West Life $328 181%
Aetna $374 - $537 206%
Health Partners Plan $399 220%
Amerihealth $418 - $546 231%
Active Care Plus $422 233%
First Mco $422 233%
Mutual Of Omaha $422 233%
Qualcare Wc $422 233%
Consumer Health Network (Chn) $455 - $585 251%
Donio Trucking $455 251%
Devon/ Ullicare $488 269%
Oxford $488 269%
Coventry Health Care $520 287%
Private Healthcare System (Phcs) $520 287%
Blue Cross Blue Shield $535 295%
Health Payors Org $552 304%
Health South $552 304%
Metrahealth Of Nj $552 304%
Prime Health Services $552 304%
Three Rivers Provider Network (Trpn) $552 304%
Active Care Nj Pip $585 323%
Beech Street $585 323%
Choice Care $585 323%
Department Of Corrections $585 323%
Galaxy Health Network $585 323%
Health Network Inc $585 323%
Intergroup Preferred Program $585 323%
Mcs Commercial $585 323%
Metracomp $585 323%
Multiplan $585 323%
Provider Select, Inc $585 323%
Atlantis Health Plan $601 331%
Master Care Inc $601 331%
Advance Healthcare System $618 341%
Community Care Network $618 341%
Health Network America $618 341%
Mcsi/Mrsi No Fault $618 341%
Mcsi/Mrsi Worker'S Comp $618 341%
National Health Plan $618 341%
Evernorth $756 417%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1925 Pacific Avenue, Atlantic City, NJ 08401
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals