CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Reading Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $107
Cash Discount Price: $290
vs. Medicare Baseline: 0.59x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Reading Hospital is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $290. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.59x the Medicare baseline. Located in 420 S 5Th Avenue, West Reading, PA.

Cash / Self-Pay

$290

Average discount available for prompt cash payment at this facility.

Insurance Median

$107

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: $290 (160%)

Insurance Median: $107 (59%)

Cash: $290 (160% of Medicare)

Ins. Median: $107 (59% 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
UnitedHealthcare	$49 - $339	27%
Geisinger	$50 - $265	28%
Humana	$77 - $93	42%
Aetna	$79 - $302	44%
Blue Cross Blue Shield	$90 - $269	50%
Highmark	$90 - $107	50%
Upmc	$90 - $226	50%
Amerihealth Caritas	$91	50%
Health America	$93	51%
Devoted Health	$94	52%
Health Partners	$95 - $105	52%
Pa Health & Wellness	$95 - $145	52%
United Behavioral Health	$95 - $97	52%
Gateway	$97 - $105	53%
Quest Behavioral Health	$100	55%
Magellan	$101	56%
Lehigh Valley Health Network	$118 - $189	65%
Cigna	$144 - $278	79%
First Health	$157 - $323	87%
Pma	$166 - $168	92%
Berkshire	$310 - $314	171%
Blue Ridge	$393 - $398	217%

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 $290.
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 Reading 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.