CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: UPMC Chautauqua at Wca

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $228
  • Cash Discount Price: $212
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at UPMC Chautauqua at Wca is $228. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $212. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.26x the Medicare baseline. Located in 207 Foote Avenue, Jamestown, NY.
Cash / Self-Pay
$212

Average discount available for prompt cash payment at this facility.

Insurance Median
$228

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: $212 (117%)
Insurance Median: $228 (126%)
Cash: $212 (117% of Medicare)
Ins. Median: $228 (126% 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
Fidelis $49 27%
Upmc Health Plan $49 - $212 27%
Geisinger $54 30%
United Behavioral Health $57 31%
Health Partners Plans (Jefferson Health Plan) $59 33%
Ccbhn $75 41%
Aetna $78 - $230 43%
Univera $94 52%
Magnacare $138 - $266 76%
Independent Health $185 - $235 102%
UnitedHealthcare $227 - $230 125%
Humana $266 - $283 147%
Multiplan $266 147%
Ghi/Emblem Health $283 156%
Statewide Independent Ppo $312 172%
Affordable First Health $319 176%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 207 Foote Avenue, Jamestown, NY 14701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals