CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Chsli St Joseph Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $260
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.43x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Chsli St Joseph Hospital is $260. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.43x the Medicare baseline. Located in 4295 Hempstead Turnpike, Bethpage, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$260

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%)
Insurance Median: $260 (143%)
Ins. Median: $260 (143% 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
UnitedHealthcare $84 - $652 46%
Local 1199 $100 55%
Surest $120 66%
Zadroga $142 78%
Oscar Health $164 90%
Blue Cross Blue Shield $186 - $298 103%
Aetna $190 - $200 105%
Centerlight Healthcare $190 - $290 105%
Centers Plan For Healthy Living $190 105%
Elderplan Inc. $190 - $290 105%
Emblem Health $190 - $428 105%
Fidelis Care New York $190 - $652 105%
Health Plus $190 - $652 105%
Healthspring $190 105%
Independent Health $190 - $290 105%
Liberty Health $190 105%
Longevity Health Plan $190 105%
Medicare (plans) $190 - $200 105%
Mvp Health Plans $190 - $290 105%
Orthonet - Uniformed Services Family Health Plan $190 105%
Pmc $190 105%
Senior Whole Health $190 - $290 105%
Tricare $190 105%
Universal Healthcare $190 105%
Us Family Health Plan $190 105%
Veterans Affairs $190 105%
Health First $192 - $652 106%
Humana $194 107%
Agewell New York $197 109%
Apwu $200 110%
Centivo $200 110%
Cigna $200 - $260 110%
Daniel H Cook $200 110%
Mail Handlers Benefit Plan $200 110%
Meritain Health $200 110%
Nalc $200 110%
Nippon Life Insurance Company Of America $200 110%
Partners Health Plan $200 110%
Salvation Army $200 110%
Samba $200 110%
Wellcare Health Plan Inc $209 115%
Allied Wellfare Fund $260 143%
American Group Administrators $260 143%
Bakery & Confectionery Union $260 143%
Brighton $260 - $368 143%
Comprehensive Benefits Consultant $260 143%
Guardian Life Insurance Company Of America $260 143%
Maloney And Assoc $260 143%
Multiplan $260 143%
Performax $260 143%
Phcs $260 143%
Pomco $260 143%
Tpa Inc $260 143%
Unicare $260 143%
United Employees Health Plan $260 143%
Affinity Health Plan $290 - $652 160%
Medicaid / KanCare $290 160%
Self Pay $298 164%
Galaxy $360 199%
Three Rivers Provider Network $360 199%
Aither Health $400 221%
Alpha Care $400 221%
Dentaquest $400 221%
American Plan Administrators $428 236%
Amerihealth Administrators $428 236%
Benefit Services $428 236%
Ghi Cbp Ny City Employee Alternate $428 236%
International Benefit Administrator $428 236%
Ultra Benefits Inc. $428 236%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4295 Hempstead Turnpike, Bethpage, NY 11714
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals