CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: St Peter's Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $205
  • Cash Discount Price: $166
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at St Peter's Hospital is $205. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $166. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.13x the Medicare baseline. Located in 315 South Manning Boulevard, Albany, NY.
Cash / Self-Pay
$166

Average discount available for prompt cash payment at this facility.

Insurance Median
$205

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: $166 (92%)
Insurance Median: $205 (113%)
Cash: $166 (92% of Medicare)
Ins. Median: $205 (113% 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
Medicaid / KanCare $68 - $283 37%
Blue Cross Blue Shield $83 - $618 46%
Blue Shield - Ca $83 46%
Blue Shield - Id (Regence) $83 46%
Blue Shield - Ny Highmark Northeastern $83 46%
Blue Shield - Ny Highmark Western $83 46%
Blue Shield - Pa (Highmark) $83 46%
Blue Shield - Wa (Regence) $83 46%
Aetna $91 - $148 50%
Medicare (plans) $95 - $520 52%
UnitedHealthcare $106 - $618 58%
Harvard Pilgrim Healthcare $125 - $156 69%
Carelon Behavioral Health $126 - $540 69%
1199 National Benefit Fund $148 82%
Allied Benefit Systems $148 82%
Asr Health Benefits $148 82%
Christian Brother Services $148 82%
Geha $148 82%
Lucent Health $148 82%
Luminare Health $148 82%
Medical Mutual $148 82%
Meritain $148 82%
Trustmark Small Business Benefits $148 82%
Emblem Health $171 - $212 94%
Mvp $171 - $184 94%
Nova $171 - $212 94%
Capital District Physicians Health Plan $176 97%
Galaxy Health Network $182 - $226 100%
Health Republic $194 - $241 107%
Independent Health $194 - $241 107%
Magnacare $194 - $241 107%
Health New England $205 - $255 113%
Multiplan $205 - $255 113%
Phcs $205 - $255 113%
Bcn Domestic $210 - $618 116%
Blue Care Network $210 - $618 116%
Unicare $210 - $618 116%
Albany County Correctional Facility $228 - $283 126%
Allegiance $508 280%
American Postal Workers Secondary $508 280%
Cigna $508 280%
Diversified Administrators $508 280%
Health Partners $508 280%
Priority Health $508 280%
Tufts Health Plan $508 280%
Webtpa $508 280%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 South Manning Boulevard, Albany, NY 12208
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals