CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Elmhurst Hospital Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $212
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Elmhurst Hospital Center is $212. 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 1.17x the Medicare baseline. Located in 79-01 Broadway, Elmhurst, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$212

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: $212 (117%)
Ins. Median: $212 (117% 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
Healthfirst $79 - $439 44%
Emblem $99 - $264 55%
Fidelis $99 - $439 55%
Wellcare $107 59%
United Behavioral Health $108 - $215 60%
Carelon $113 - $407 62%
Aetna $127 - $666 70%
United $159 - $738 88%
Blue Cross Blue Shield $168 - $439 93%
Metroplus $179 - $439 99%
Oxford $184 - $554 101%
Elderplan $190 105%
Vaccn $190 105%
Vnsny $190 - $199 105%
Amidacare $195 108%
Senior Whole Health $195 108%
Centers Plan For Healthy Living $198 109%
Affinity $199 - $439 110%
Carelon (Amida Care) $199 110%
Oscar $285 157%
Magnacare $374 - $692 206%
Centerlight $404 - $461 223%
Cigna $606 - $692 334%
Multiplan $646 - $738 356%
Local 1199 $686 - $784 378%
Villagecare Max $686 - $784 378%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 79-01 Broadway, Elmhurst, NY 11373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals