CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Albany Medical Center Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $103
  • Cash Discount Price: $75
  • vs. Medicare Baseline: 0.57x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Albany Medical Center Hospital is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.57x the Medicare baseline. Located in 43 New Scotland Avenue, Mail Code 34, Albany, NY.
Cash / Self-Pay
$75

Average discount available for prompt cash payment at this facility.

Insurance Median
$103

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: $75 (41%)
Insurance Median: $103 (57%)
Cash: $75 (41% of Medicare)
Ins. Median: $103 (57% 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
UnitedHealthcare $26 - $257 14%
Emblem $28 - $257 15%
Emblem_Ghi $28 - $257 15%
Empire Plan Nyship $28 - $148 15%
Magnacare $28 - $257 15%
Multiplan $30 - $273 17%
Medicaid / KanCare $32 - $87 18%
Blue Shield $35 - $213 19%
Cdphp $61 - $428 34%
Blue Cross Blue Shield $67 - $428 37%
Medicare (plans) $67 - $111 37%
Tricare $67 - $103 37%
Carelon Beacon Behavioral $69 - $118 38%
Fidelis $71 - $428 39%
Hamaspik $74 - $447 41%
Mvp $75 - $190 41%
Blue Shield Highmark $78 - $186 43%
Cigna $79 - $158 44%
Aetna $83 - $197 46%
Nascentia $99 - $113 55%
Emblem Health Ghi $100 - $222 55%
Nascentia Health Options $141 78%
Nys Department Of Corrections $185 - $198 102%
Mvp Commercial $284 - $373 157%
Mvp Essential Plan $409 226%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 43 New Scotland Avenue, Mail Code 34, Albany, NY 12208
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals