CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Guadalupe Regional Medical Center

Billing Code: 90834 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$140

about 0.8× the $181 Medicare rate · typically $138–$210

modeled estimate · not a bill or quote

What this hospital charges insurers

$127

About the fair price

about $13 under the fair price · 0.7× Medicare

Medicare pays $181 Fair price $140 This hospital $127 Cash price $213 Hospital's list price $426

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $46 Priciest $127

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Psychotherapy session (45 minutes) is about $140 (about 0.8× the $181 Medicare rate). Guadalupe Regional Medical Center charges insurers about $127, or about $213 in cash — about the fair price. Located in Seguin, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$92 - $482	51%
Aetnamajor	$101 - $546	56%
Cignamajor	$110 - $578	61%
Humanamajor	$104 - $546	57%
Clover Health	$101 - $152	56%
Healthcare Highways	$92 - $482	51%
Oscar Health	$101 - $152	56%
WellCare	$101 - $152	56%
+ 4 smaller / regional plans	$55 - $578

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 213), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90834.

Insurance Before you use insurance

Call your insurance company to confirm Guadalupe Regional Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 90834.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Guadalupe Regional Medical Center

Compare: Psychotherapy session (45 minutes) at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.