CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Maimonides Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $93
Cash Discount Price: $447
vs. Medicare Baseline: 0.51x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Maimonides Medical Center is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $447. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.51x the Medicare baseline. Located in 4802 Tenth Avenue, Brooklyn, NY.

Cash / Self-Pay

$447

Average discount available for prompt cash payment at this facility.

Insurance Median

$93

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: $447 (246%)

Insurance Median: $93 (51%)

Cash: $447 (246% of Medicare)

Ins. Median: $93 (51% 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
United Community Plan	$35 - $244	19%
Molina	$38 - $115	21%
UnitedHealthcare	$39 - $89	22%
Oxford Health Plan	$42	23%
Carelon Behavioral Health	$55 - $200	30%
Emblem Health - Hip	$55	30%
Metroplus	$69 - $266	38%
Healthfirst	$72 - $217	40%
Local 1199	$75 - $100	41%
Fidelis	$80 - $104	44%
Blue Cross Blue Shield	$100 - $326	55%
Aetna	$106 - $222	58%
Emblem Health - Ghi	$674	372%

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 $447.
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 Maimonides Medical Center 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.