CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Lancaster General Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $173
  • Cash Discount Price: $194
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Lancaster General Hospital is $173. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $194. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.95x the Medicare baseline. Located in 555 North Duke Street, Lancaster, PA.
Cash / Self-Pay
$194

Average discount available for prompt cash payment at this facility.

Insurance Median
$173

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: $194 (107%)
Insurance Median: $173 (95%)
Cash: $194 (107% of Medicare)
Ins. Median: $173 (95% 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
Hospice And Community Care $37 - $39 20%
UnitedHealthcare $43 - $180 24%
Upmc For You $48 - $51 26%
Old Order Group $52 - $65 29%
Lg Coresource/Lg Eliance $55 - $58 30%
Lancashire Hall $58 - $204 32%
Nursing Home Op Services $58 - $61 32%
Blue Cross Blue Shield $63 - $184 35%
Affilia Home Health $78 - $204 43%
Medicaid / KanCare $78 - $352 43%
Masonic Homes $81 - $204 45%
Highmark $94 - $204 52%
Gateway $97 - $102 53%
Tricare $116 - $122 64%
Eliance Health Solutions $124 - $131 68%
Highmark Commercial Preferred $130 - $204 72%
Aetna $131 - $182 72%
Cigna $146 - $186 81%
Ehp $159 - $167 88%
Upmc Commercial $159 - $173 88%
Devon $165 - $173 91%
Geisinger Commercial $165 - $173 91%
Intergroup Services $165 - $173 91%
Preferred Healthcare $165 - $173 91%
Albright Life $180 99%
Coatesville Va $180 99%
Hospice Generic $180 99%
Lebanon Veterans Hospital $180 99%
Medicare (plans) $180 - $199 99%
Amerihealth Caritas $184 101%
Medi-Share Christian Care $184 - $194 101%
Health Partners Mcr Advantage $186 103%
Devoted Health $189 104%
Pa Health And Wellness Mcr $189 104%
Commercial Generic $194 - $204 107%
Highmark Commercial Non-Preferred $194 - $206 107%
Magellan $194 - $204 107%
United Behavioral Health $194 - $204 107%
Value Options $194 - $204 107%
Workers Compensation $194 - $204 107%
Elap Employees $256 141%
Oscar Health Plan $352 194%
Claim Watcher Plus $541 298%
Claim Watcher $595 328%
Elap Other Groups $656 362%
Gift Of Life Donor Program $13,500 7445%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 555 North Duke Street, Lancaster, PA 17602
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals