CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Penn State Health Lancaster Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $179
Cash Discount Price: $303
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Penn State Health Lancaster Medical Center is $179. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $303. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.99x the Medicare baseline. Located in 2160 State Road, Lancaster, PA.

Cash / Self-Pay

$303

Average discount available for prompt cash payment at this facility.

Insurance Median

$179

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: $303 (167%)

Insurance Median: $179 (99%)

Cash: $303 (167% of Medicare)

Ins. Median: $179 (99% 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
[Amerihealth Caritas]	$148 - $174	82%
[Highmark Wholecare]	$148 - $174	82%
[Geisinger]	$157 - $696	87%
[Health Partners Plans]	$162 - $178	89%
[Pa Health & Wellness]	$163 - $179	90%
[Highmark]	$172 - $761	95%
UnitedHealthcare	$174 - $654	96%
[Cbc]	$174 - $525	96%
Aetna	$176 - $627	97%
Humana	$176	97%
[Healthspring]	$176	97%
[Upmc]	$178 - $771	98%
[Point Comfort Underwriters]	$218	120%
[Highmark Choice Blue]	$609	336%
[Highmark Aca]	$639	352%
Cigna	$640	353%
[First Health]	$835	460%
[Multiplan]	$835	460%

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 $303.
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 Penn State Health Lancaster Medical Center 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.