CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Temple University Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $233
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.28x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Temple University Hospital is $233. 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 1.28x the Medicare baseline. Located in 3401 North Broad Street, Philadelphia, PA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$233

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: $233 (128%)

Ins. Median: $233 (128% 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
Amerihealth Caritas	$47	26%
Upmc Health Plan	$86 - $200	47%
Pennsylvania Health And Wellness	$87 - $205	48%
Keystone First	$95 - $196	52%
Blue Cross Blue Shield	$105 - $1,201	58%
UnitedHealthcare	$150 - $666	83%
Humana	$187	103%
Aetna	$188 - $527	104%
Health Partners Plans	$190	105%
Innovage	$190	105%
Geisinger	$191 - $535	105%
Cigna	$196 - $246	108%
Clover Health	$198	109%
Elder Health	$224	124%
Gateway Health Plan	$233	128%
Wtc Health Program	$233	128%
Naphcare	$280	154%
Occunet	$280	154%
Oscar Health	$280	154%
Prime Health Services	$297	164%
Magellan Health	$993	548%

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 $X.
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 Temple University 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.