CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Johnson City Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $171
Cash Discount Price: $45
vs. Medicare Baseline: 0.94x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Johnson City Medical Center is $171. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $45. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.94x the Medicare baseline. Located in 400 N State of Franklin Rd, Johnson City, TN.

Cash / Self-Pay

$45

Average discount available for prompt cash payment at this facility.

Insurance Median

$171

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: $45 (25%)

Insurance Median: $171 (94%)

Cash: $45 (25% of Medicare)

Ins. Median: $171 (94% 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
UnitedHealthcare	$99 - $191	55%
Sentara Health	$104 - $166	57%
Medcost	$105	58%
Cigna	$116 - $174	64%
Amerigroup	$118 - $166	65%
Aetna	$166 - $193	92%
Humana	$166	92%
Managed Medicaire	$166	92%
Medicare (plans)	$166	92%
Mountain Empire Pace	$166	92%
United Mine Workers Of America	$166	92%
Blue Cross Blue Shield	$171 - $215	94%
Molina Healthcare	$172 - $193	95%
Devoted Health Plan	$174	96%
Nhc Advantage	$174	96%
Wellcare	$176 - $299	97%
Optima Health	$185	102%
First Health Coventry	$224	124%
Seven Corners, Inc.	$299	165%
Ambetter / Centene	$361	199%

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 $45.
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 Johnson City 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.