CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Hospital of Univ of Pennsylvania

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $129
  • Cash Discount Price: $161
  • vs. Medicare Baseline: 0.71x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Hospital of Univ of Pennsylvania is $129. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $161. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.71x the Medicare baseline. Located in 3400 Spruce St, Philadelphia, PA.
Cash / Self-Pay
$161

Average discount available for prompt cash payment at this facility.

Insurance Median
$129

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: $161 (89%)
Insurance Median: $129 (71%)
Cash: $161 (89% of Medicare)
Ins. Median: $129 (71% 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
Ibc $18 - $190 10%
Horizon Nj Health $27 - $28 15%
Keystone Mercy Health Plan $32 - $161 18%
Preferred Health Care Eliance $35 19%
Aetna $37 - $198 20%
Pgm - Regie De L'Assurance Maladie Quebec $37 20%
Upmc $40 - $187 22%
Blue Cross Blue Shield $43 - $187 24%
Cigna $56 - $192 31%
Pgm - Kuwait Defense $56 - $72 31%
Qualcare $61 34%
Olympus $63 35%
Coventry $64 - $82 35%
Medicaid / KanCare $64 - $161 35%
Pgm - Chop $64 35%
Wissahickon Hospice $64 35%
Healthamerica/Coventry $72 - $79 40%
UnitedHealthcare $77 - $198 42%
First Health Global $80 44%
Ibc Commercial Hpn $88 49%
Keystone Hmo Proactive $90 50%
Gspp And Wissahickon Hospice $93 51%
Health Net $97 - $161 53%
Kaiser Permanente $97 - $187 53%
Pgm - Royal Embassy Of Saudi Arabia $97 53%
Paired Kidney Exchange $98 54%
Pgm - Embassy Of Qatar $105 58%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $105 58%
Interlink $108 60%
Pgm - Embassy Of The United Emirates/Ipc $113 62%
Health America/Ccn $129 71%
Humana $129 - $192 71%
Intergroup $129 71%
Pgm - Kuwait Health Division $129 71%
Pgm - Kuwait Oil $129 71%
Preferred Care $129 71%
Blue Quality Centers For Transplant (Bqct) $161 89%
City Of Philadelphia Behavioral Health $161 89%
Commercial Other $161 89%
Health Partners $161 - $192 89%
International Pfs $161 89%
Pa Medical Assistance $161 89%
United Behavioral Health $161 89%
Workers Compensation $161 89%
Medicare (plans) $187 - $190 103%
Philadelphia Va Medical Center $187 103%
Tricare $187 103%
Geisinger Health Plan $192 - $592 106%
Devoted Health $196 108%
Pa Health And Wellness $196 - $308 108%
Penn Life (Living Independently For Elders) $196 108%
Clover Health Plan $201 111%
Keystone First $207 114%
Us Family Health Plan $215 119%
Gateway Health Plan $231 127%
Elap $265 146%
Claims Watcher $298 - $336 164%
Oscar Health Plan $317 175%
Centivo $336 185%
Elap Services $347 191%
Highmark $392 216%
Penn Global Medicine $494 272%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3400 Spruce St, Philadelphia, PA 19104
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals