CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: HCA Houston Healthcare Southeast

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $253
  • Cash Discount Price: $689
  • vs. Medicare Baseline: 1.40x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at HCA Houston Healthcare Southeast is $253. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $689. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.40x the Medicare baseline. Located in 4000 Spencer Hwy, Pasadena, TX.
Cash / Self-Pay
$689

Average discount available for prompt cash payment at this facility.

Insurance Median
$253

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: $689 (380%)
Insurance Median: $253 (140%)
Cash: $689 (380% of Medicare)
Ins. Median: $253 (140% 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
Humana $33 18%
Superior Health Plan $38 - $45 21%
Community Health Choice Mcd $82 - $97 45%
Amerigroup $88 - $104 49%
Cigna $93 - $597 51%
Texas Childrens Health Plans $111 - $177 61%
Blue Cross Blue Shield $122 - $261 67%
Oscar $123 - $145 68%
United $127 - $336 70%
Texas Workforce Commission $151 - $179 83%
Healthcare Highways $161 - $190 89%
Aetna $167 - $323 92%
Evry Health $172 - $204 95%
Imagine Health $221 - $261 122%
Christus (Usfhp) $252 - $298 139%
Healthsmart Preferred Care $271 - $634 149%
Averde Health $284 - $336 157%
Fidelis Securecare Of Tx $284 - $336 157%
Curative Administrators $298 164%
Texas Athletic Network $300 - $600 165%
Multiplan $316 - $671 174%
Coventry National First Health $336 - $398 185%
Physicians Cooperative Of Texas $347 - $410 191%
Rockport Workers Comp $347 - $410 191%
Beech Street $379 - $597 209%
Independent Medical System $379 - $448 209%
National Healthcare Solutions $379 - $448 209%
Prime Health Services $379 - $448 209%
Southwest Medical $379 - $448 209%
Coastal Comp $410 - $485 226%
Fiesta Mart, Inc $473 - $560 261%
Physicians, Inc $536 - $634 296%
Affiliated Ppo $568 - $671 313%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4000 Spencer Hwy, Pasadena, TX 77504
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals