CMS Price Transparency Data
Psychotherapy session (45 minutes)
Facility: Pennsylvania Hospital
Billing Code: 90834 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90834
- Insurance Median: $130
- Cash Discount Price: $236
- vs. Medicare Baseline: 0.72x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Pennsylvania Hospital is $130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $236. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.72x the Medicare baseline. Located in 800 Spruce Street, Philadelphia, PA.
Cash / Self-Pay
$236
Average discount available for prompt cash payment at this facility.
Insurance Median
$130
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: $236 (130%)
Insurance Median: $130 (72%)
Cash: $236 (130% of Medicare)
Ins. Median: $130 (72% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Horizon Nj Health | $22 - $60 | 12% |
| Medicaid / KanCare | $23 - $342 | 13% |
| Keystone Mercy Health Plan | $26 - $68 | 14% |
| UnitedHealthcare | $27 - $274 | 15% |
| Pgm - Regie De L'Assurance Maladie Quebec | $30 - $79 | 17% |
| Upmc | $32 - $342 | 18% |
| Preferred Health Care Eliance | $34 - $89 | 19% |
| Blue Cross Blue Shield | $35 - $342 | 19% |
| Aetna | $36 - $342 | 20% |
| Cigna | $44 - $191 | 24% |
| Pgm - Kuwait Defense | $45 - $154 | 25% |
| Devon | $49 - $154 | 27% |
| Qualcare | $49 - $130 | 27% |
| Coventry | $52 - $174 | 29% |
| Ibc Commercial Hpn | $52 - $138 | 29% |
| Pgm - Chop | $52 - $137 | 29% |
| Wissahickon Hospice | $52 - $137 | 29% |
| Keystone Hmo Proactive | $54 - $141 | 30% |
| Healthamerica/Coventry | $58 - $168 | 32% |
| Olympus | $63 - $166 | 35% |
| First Health Global | $65 - $171 | 36% |
| Urn-Cancer Resource Services | $65 - $171 | 36% |
| Quest Behavioral Health | $70 - $342 | 39% |
| Health Net | $78 - $342 | 43% |
| Pgm - Royal Embassy Of Saudi Arabia | $78 - $205 | 43% |
| Pgm - Embassy Of Qatar | $84 - $222 | 46% |
| Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) | $84 - $222 | 46% |
| Pgm - Embassy Of The United Emirates/Ipc | $91 - $239 | 50% |
| Devon Health Services Inc | $104 - $274 | 57% |
| Health America/Ccn | $104 - $274 | 57% |
| Humana | $104 - $274 | 57% |
| Intergroup | $104 - $274 | 57% |
| Pgm - Kuwait Health Division | $104 - $274 | 57% |
| Pgm - Kuwait Oil | $104 - $274 | 57% |
| Preferred Care | $104 - $274 | 57% |
| Commercial Other | $130 - $342 | 72% |
| Community Behavioral Health | $130 - $342 | 72% |
| Health Partners | $130 - $342 | 72% |
| International Pfs | $130 - $342 | 72% |
| United Behavioral Health | $130 - $342 | 72% |
| Workers Compensation | $130 - $342 | 72% |
| Medicare (plans) | $186 - $189 | 103% |
| Philadelphia Va Medical Center | $186 | 103% |
| Tricare | $187 | 103% |
| Ibc | $189 | 104% |
| Geisinger Health Plan | $191 - $589 | 105% |
| Pa Health And Wellness | $195 - $306 | 108% |
| Penn Life (Living Independently For Elders) | $195 | 108% |
| Clover Health Plan | $200 | 110% |
| Keystone First | $206 | 114% |
| Us Family Health Plan | $215 | 119% |
| Gateway Health Plan | $230 | 127% |
| Elap | $264 | 146% |
| Claims Watcher | $297 - $334 | 164% |
| Oscar Health Plan | $316 | 174% |
| Centivo | $334 | 184% |
| Elap Services | $345 | 190% |
| Highmark | $390 | 215% |
| Penn Global Medicine | $492 | 271% |