CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Baylor Scott & White Medical Center - Temple

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $206
Cash Discount Price: $229
vs. Medicare Baseline: 1.14x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Baylor Scott & White Medical Center - Temple is $206. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $229. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.14x the Medicare baseline. Located in 2401 S 31St St, Temple, TX.

Cash / Self-Pay

$229

Average discount available for prompt cash payment at this facility.

Insurance Median

$206

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: $229 (126%)

Insurance Median: $206 (114%)

Cash: $229 (126% of Medicare)

Ins. Median: $206 (114% 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
Superior Health Plan	$57 - $148	31%
Humana	$113 - $267	62%
Texas Workforce Commission	$134	74%
Baylor Scott & White Health Plan	$139 - $244	77%
Triwest	$148	82%
American Health Plan	$155	85%
Blue Cross Blue Shield	$155 - $214	85%
Corvel	$155	85%
Prime Health Services	$155	85%
Procare Advantage	$155	85%
UnitedHealthcare	$170 - $188	94%
Injury Management Organization	$184	101%
Cigna	$196 - $230	108%
Aetna	$210	116%
Employers Health Network	$210	116%
Midcoast	$210	116%
Quiktrip	$210	116%
Careworks Fka Rockport	$221	122%
Sedgwick	$221	122%
University Of Mary Hardin-Baylor	$222	122%
Independent Medical System	$229	126%
Imagine Health	$239	132%
Curative	$248	137%
First Health	$267	147%
Healthsmart	$267 - $287	147%
Bluebell Creameries	$287	158%
Private Health Care System	$287	158%
Three Rivers	$344	190%

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 $229.
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 Baylor Scott & White Medical Center - Temple 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.