CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Prisma Health Greenville Memorial Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $291
  • Cash Discount Price: $273
  • vs. Medicare Baseline: 1.60x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Prisma Health Greenville Memorial Hospital is $291. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $273. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.60x the Medicare baseline. Located in 701 Grove Road, Greenville, SC.
Cash / Self-Pay
$273

Average discount available for prompt cash payment at this facility.

Insurance Median
$291

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: $273 (151%)
Insurance Median: $291 (160%)
Cash: $273 (151% of Medicare)
Ins. Median: $291 (160% 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
Medicaid / KanCare $65 - $88 36%
UnitedHealthcare $65 - $861 36%
First Choice Benefits Mgmt [3074] $74 41%
Medicare (plans) $74 41%
Tricare $82 45%
Humana $90 50%
Prisma Health Seniorcare Pace - Midlands [5400] $97 53%
Prisma Health Seniorcare Pace-Upstate [5200] $97 53%
Promise Health Plan Contracted [2401] $147 - $450 81%
Blue Cross Blue Shield $155 - $497 85%
Bluechoice [810] $155 - $523 85%
Planned Administrators [820] $155 - $497 85%
Companion Benefit Alternatives [2983] $162 - $351 89%
Orangeburg Senior Helping Center Pace [5401] $168 93%
Carelon Behavioral Health [3180] $175 - $375 97%
Bob Jones Univ-Pai [821] $252 - $375 139%
Magellan Behavioral Contracted [3198] $252 - $509 139%
Scdc-Sc Dept Of Corrections [7232] $255 - $464 141%
Aetna $269 - $332 148%
Meritain Health Contracted [2200] $269 - $332 148%
Cigna $291 160%
Evernorth Behavioral Contracted [2982] $291 160%
Mvp Health Care [3037] $291 160%
Preferred Administrators Contracted [2839] $294 162%
Medcost [2940] $311 - $349 172%
Atlantic Packaging Contracted [4833] $315 174%
Aps Healthcare System [2981] $336 185%
Multiplan/Phcs Contracted [2950] $374 206%
Vsp Vision Care [2986] $378 208%
First Health Contracted [2952] $391 216%
Furman Int/Allen University Student [2951] $391 216%
Quiktrip-First Health [3067] $391 216%
Golden Rule Insurance Company [2991] $861 475%
Oxford Health Plans [2992] $861 475%
Zzumr-Salt Lake City Ut [3169] $861 475%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 Grove Road, Greenville, SC 29605
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals