CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: St Anthony Community Hospital

Billing Code: 90834 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$315

about 1.7× the $181 Medicare rate · typically $185–$418

modeled estimate · not a bill or quote

What this hospital charges insurers

$195

Below the fair price — a good deal

about $120 under the fair price · 1.1× Medicare

Medicare pays $181 Fair price $315 This hospital $195 Cash price $682 Hospital's list price $682

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $68 Priciest $195

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Psychotherapy session (45 minutes) is about $315 (about 1.7× the $181 Medicare rate). St Anthony Community Hospital charges insurers about $195, or about $682 in cash — below the fair price — a good deal. Located in Warwick, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$406 - $478	224%
Blue Cross Blue Shieldmajor	$352 - $434	194%
Aetnamajor	$402 - $443	222%
CDPHP	$341	188%
Geisinger	$728	401%
MagnaCare	$614	339%
Molina	$232	128%
MVP Health Care	$131 - $144	72%
+ 5 smaller / regional plans	$220 - $546

Government programs also on file: Medicare, Military & VA.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 682), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90834.

Insurance Before you use insurance

Call your insurance company to confirm St Anthony Community Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 90834.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at St Anthony Community Hospital

Compare: Psychotherapy session (45 minutes) at other NY hospitals

Insurance negotiated median for the same procedure, sorted lowest first.