CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Texas Health Presbyterian Hospital Kaufman

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $290
Cash Discount Price: $327
vs. Medicare Baseline: 1.60x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Texas Health Presbyterian Hospital Kaufman is $290. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $327. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.60x the Medicare baseline. Located in 850 Ed Hall, Kaufman, TX.

Cash / Self-Pay

$327

Average discount available for prompt cash payment at this facility.

Insurance Median

$290

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: $327 (180%)

Insurance Median: $290 (160%)

Cash: $327 (180% of Medicare)

Ins. Median: $290 (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.

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
Amerigroup	$51 - $187	28%
Blue Cross Blue Shield	$51 - $450	28%
Parkland	$51	28%
UnitedHealthcare	$51 - $299	28%
Superior Wellcare	$54 - $196	30%
Molina	$55 - $187	30%
American Health	$178	98%
Healthspring	$182	100%
Humana	$185	102%
Aetna	$224 - $382	124%
City Of Fort Worth	$256	141%
Cigna	$301 - $513	166%
Fort Worth Firefighters	$333 - $777	184%
Quick Trip	$387	213%
Phcs	$456	251%
Healthsmart	$474 - $523	261%
Multiplan	$474	261%
Galaxy	$480	265%
Usa	$480	265%

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 $327.
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 Texas Health Presbyterian Hospital Kaufman 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.