CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: UPMC Presbyterian Shadyside

Billing Code: 90834 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$162
about 0.9× the $181 Medicare rate · typically $113–$188
modeled estimate · not a bill or quote
What this hospital charges insurers
$165
About the fair price
about $3 over the fair price · 0.9× Medicare
Medicare pays $181 Fair price $162 This hospital $165 Cash price $235 Hospital's list price $392

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $43 Priciest $165

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Psychotherapy session (45 minutes) is about $162 (about 0.9× the $181 Medicare rate). UPMC Presbyterian Shadyside charges insurers about $165, or about $235 in cash — about the fair price. Located in Pittsburgh, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $47 26%
Blue Cross Blue Shieldmajor $58 - $1,177 32%
Aetnamajor $51 - $168 28%
Cignamajor $165 91%
Humanamajor $333 184%
AmeriHealth $62 - $165 34%
Fidelis Care $294 162%
Geisinger $61 34%
HealthPartners $59 33%
UPMC Health Plan $43 - $184 24%
+ 6 smaller / regional plans $66 - $333
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 200 Lothrop Street, Pittsburgh, PA 15213
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals