CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Columbia Memorial Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $107
Cash Discount Price: $110
vs. Medicare Baseline: 0.59x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Columbia Memorial Hospital is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $110. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.59x the Medicare baseline. Located in 71 Prospect Avenue, Hudson, NY.

Cash / Self-Pay

$110

Average discount available for prompt cash payment at this facility.

Insurance Median

$107

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: $110 (61%)

Insurance Median: $107 (59%)

Cash: $110 (61% of Medicare)

Ins. Median: $107 (59% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$32 - $190	18%
UnitedHealthcare	$38 - $133	21%
Cdphp	$65 - $428	36%
Mvp	$67 - $400	37%
Blue Cross Blue Shield	$72 - $2,449	40%
Medicare (plans)	$72 - $111	40%
Tricare	$72 - $111	40%
Hamaspik	$79 - $259	44%
Blue Shield Highmark	$87 - $110	48%
Fidelis	$91 - $428	50%
Aetna	$99 - $243	55%
Cigna	$107 - $123	59%
Magnacare	$113 - $259	62%
Empire Plan Nyship	$125	69%
Emblem Health Ghi	$132 - $152	73%
Multiplan	$132 - $303	73%
Emblem	$145 - $235	80%
Herrington Diversified Pdh	$147 - $285	81%
Mvp Commercial	$147 - $337	81%
Blue Shield	$276 - $314	152%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $110.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90834.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Columbia Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90834.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.