CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Carnegie Tri-County Municipal Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $263
Cash Discount Price: $219
vs. Medicare Baseline: 1.45x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Carnegie Tri-County Municipal Hospital is $263. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $219. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.45x the Medicare baseline. Located in 102 North Broadway, Carnegie, OK.

Cash / Self-Pay

$219

Average discount available for prompt cash payment at this facility.

Insurance Median

$263

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: $219 (121%)

Insurance Median: $263 (145%)

Cash: $219 (121% of Medicare)

Ins. Median: $263 (145% 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
Aetna	$164 - $496	90%
Blue Cross Blue Shield	$174 - $422	96%
Global Health Mcr Adv	$174 - $263	96%
Humana	$174 - $496	96%
UnitedHealthcare	$174 - $263	96%
Wellcare Mcr Adv - All Plans	$174 - $263	96%
Ambetter / Centene	$227 - $342	125%
Community Care Comm Ip/Op Only - All Plans	$263 - $397	145%
Health Choice - All Plans	$263	145%
Preferred Comm Ppo - All Plans	$263 - $397	145%
Global Health Ip/Op Only - All Other Plans	$280 - $422	154%
First Health - All Plans	$296 - $446	163%
Multiplan - All Plans	$303 - $456	167%
Soonerselect Mcaid - All Plans	$329 - $496	181%

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 $219.
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 Carnegie Tri-County Municipal 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.