CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Montefiore New Rochelle Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $190
Cash Discount Price: $334
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Montefiore New Rochelle Hospital is $190. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $334. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.05x the Medicare baseline. Located in 16 Guion Place, New Rochelle, NY.

Cash / Self-Pay

$334

Average discount available for prompt cash payment at this facility.

Insurance Median

$190

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: $334 (184%)

Insurance Median: $190 (105%)

Cash: $334 (184% of Medicare)

Ins. Median: $190 (105% 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
UnitedHealthcare	$91 - $190	50%
Healthfirst	$96 - $190	53%
Molina Healthcare Of Ny Affinity	$160 - $361	88%
Amidacare	$163 - $200	90%
Emblem	$163 - $411	90%
Empire	$163 - $411	90%
Fidelis	$163 - $196	90%
Medicaid / KanCare	$163	90%
Metroplus	$163 - $294	90%
Mvp	$163 - $335	90%
Wellcare	$165 - $194	91%
Hamaspik	$172 - $205	95%
Vnsny Choice	$188 - $190	104%
Vnsny Select Health	$188	104%
Villagecaremax	$190	105%
Centerlight	$196	108%
Partners_Health_Plan	$200	110%
Humana	$209	115%
Centivo	$334	184%
Aetna	$420 - $470	232%

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 $334.
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 Montefiore New Rochelle 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.