CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Kings County Hospital Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $198
  • Cash Discount Price: $183
  • vs. Medicare Baseline: 1.09x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Kings County Hospital Center is $198. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $183. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.09x the Medicare baseline. Located in 451 Clarkson Avenue, Brooklyn, NY.
Cash / Self-Pay
$183

Average discount available for prompt cash payment at this facility.

Insurance Median
$198

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: $183 (101%)
Insurance Median: $198 (109%)
Cash: $183 (101% of Medicare)
Ins. Median: $198 (109% 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 $50 - $482 28%
Affinity $88 - $482 49%
Blue Cross Blue Shield $100 - $482 55%
Centerlight $100 - $404 55%
Elderplan $100 - $190 55%
Fidelis $100 - $482 55%
Wellcare $101 - $107 56%
Centers Plan For Healthy Living $104 - $198 57%
Hamaspik $104 57%
United Behavioral Health $108 - $235 60%
Carelon $113 - $214 62%
Oscar $124 - $285 68%
Aetna $127 - $257 70%
United $159 - $646 88%
Oxford $184 - $484 101%
Vaccn $190 105%
Vnsny $190 - $218 105%
Metroplus $198 - $482 109%
Local 1199 $212 - $686 117%
Amidacare $214 118%
Senior Whole Health $214 118%
Carelon (Amida Care) $218 120%
Emblem $268 - $289 148%
Magnacare $374 206%
Cigna $606 334%
Multiplan $646 356%
Villagecare Max $686 378%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 451 Clarkson Avenue, Brooklyn, NY 11203
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals