CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Queens Hospital Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $207
  • Cash Discount Price: $184
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Queens Hospital Center is $207. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $184. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.14x the Medicare baseline. Located in 82-68 164Th Street, Jamaica, NY.
Cash / Self-Pay
$184

Average discount available for prompt cash payment at this facility.

Insurance Median
$207

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: $184 (101%)
Insurance Median: $207 (114%)
Cash: $184 (101% of Medicare)
Ins. Median: $207 (114% 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 $49 - $472 27%
Affinity $87 - $472 48%
Blue Cross Blue Shield $99 - $472 55%
Centerlight $99 - $404 55%
Elderplan $99 - $190 55%
Fidelis $99 - $472 55%
Wellcare $100 - $107 55%
Centers Plan For Healthy Living $103 - $198 57%
Hamaspik $104 57%
United Behavioral Health $108 - $231 60%
Carelon $113 - $210 62%
Oscar $123 - $285 68%
Aetna $127 - $257 70%
Vaccn $190 105%
Vnsny $190 - $214 105%
Metroplus $193 - $472 106%
Local 1199 $205 - $686 113%
Amidacare $210 116%
Senior Whole Health $210 116%
United $210 - $646 116%
Carelon (Amida Care) $214 118%
Emblem $262 - $283 144%
Magnacare $374 206%
Oxford $404 - $484 223%
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: 82-68 164Th Street, Jamaica, NY 11432
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals