CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Strong Memorial Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $187
Cash Discount Price: $374
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Strong Memorial Hospital is $187. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $374. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.03x the Medicare baseline. Located in 601 Elmwood Ave, Rochester, NY.

Cash / Self-Pay

$374

Average discount available for prompt cash payment at this facility.

Insurance Median

$187

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: $374 (206%)

Insurance Median: $187 (103%)

Cash: $374 (206% of Medicare)

Ins. Median: $187 (103% 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
Medicaid / KanCare	$27 - $594	15%
Blue Cross Blue Shield	$42 - $535	23%
Excellus [2201]	$42 - $71	23%
UnitedHealthcare	$57 - $535	31%
Aetna	$76 - $261	42%
Excellus Bc/Bs [2201]	$76 - $184	42%
Medicare (plans)	$76 - $689	42%
Excellus Bc/Bs [2201], Bc/Bs Out Of Area [2401]	$78 - $342	43%
Highmark Bc/Bs Of Western Ny [5143]	$89 - $105	49%
Elderplan [1316]	$90 - $103	50%
Icircle [1728]	$90 - $103	50%
Martins Point [1205]	$90 - $222	50%
Nascentia [1729]	$90 - $103	50%
Humana	$91 - $243	50%
Molina Healthcare [5189]	$93 - $155	51%
Fidelis [5155]	$109 - $535	60%
Mvp [2900]	$118 - $746	65%
United Behavioral Health [131701]	$120	66%
United Behavioral Health [5185]	$120	66%
Independent Health [5156]	$129 - $156	71%
Cigna	$208 - $746	115%
Capital District Physicians Health Plan (Cdphp) [5149]	$219 - $332	121%
Molina Healthcare [1723], Molina Healthcare [5189]	$283 - $535	156%

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 $374.
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 Strong Memorial Hospital 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.