CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Flushing Hospital Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $220
  • Cash Discount Price: $276
  • vs. Medicare Baseline: 1.21x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Flushing Hospital Medical Center is $220. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $276. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.21x the Medicare baseline. Located in 45Th Avenue and Parsons Boulevard, Flushing, NY.
Cash / Self-Pay
$276

Average discount available for prompt cash payment at this facility.

Insurance Median
$220

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: $276 (152%)
Insurance Median: $220 (121%)
Cash: $276 (152% of Medicare)
Ins. Median: $220 (121% 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 $91 - $220 50%
1199 National Benefit Fund $100 55%
United Behavioral Health $102 - $118 56%
Ghi $104 57%
Empire Blue Priority $122 67%
Empire $144 - $220 79%
Hotel Trades Council – Detox/Mental $150 83%
Valueoptions $186 103%
Healthfirst $187 103%
Fidelis $209 - $220 115%
Aetna $220 - $320 121%
Beacon Health Strategies $220 121%
Centerlight Healthcare $220 121%
Metroplus $220 - $243 121%
Humana $223 - $234 123%
Elderplan $225 124%
Vns $225 124%
Wellcare Of Ny $229 126%
Senior Whole Health $234 129%
Elderserve Health $254 140%
Hamaspik Choice $254 140%
Magnacare $254 - $500 140%
Centers Plan For Healthy Living $265 146%
Emblemhealth $344 190%
Centivo $456 251%
Create Health Plan $476 262%
Hotel Trades Council $1,912 1054%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 45Th Avenue and Parsons Boulevard, Flushing, NY 11355
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals