CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: St David's Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $152
  • Cash Discount Price: $411
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at St David's Medical Center is $152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $411. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.84x the Medicare baseline. Located in 919 E 32Nd St, Austin, TX.
Cash / Self-Pay
$411

Average discount available for prompt cash payment at this facility.

Insurance Median
$152

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: $411 (227%)
Insurance Median: $152 (84%)
Cash: $411 (227% of Medicare)
Ins. Median: $152 (84% 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
Superior Health Plan $21 - $70 12%
Amerigroup $58 32%
Blue Cross Blue Shield $61 - $131 34%
Oscar $79 - $88 44%
Moda $97 53%
United $102 - $185 56%
Covenant Management Systems $118 65%
Healthcare Highways $120 - $123 66%
Imo Med - Select Network $123 68%
Cigna $132 - $169 73%
Nomi Health $132 - $152 73%
Aetna $145 - $227 80%
Moda Health $148 - $152 82%
Evry Health $151 83%
Texas Healthcare Foundation Heb $152 84%
Texas Workforce Commission $160 88%
Curative Administrators $164 90%
Harbor Health Team $164 90%
Averde Health $185 102%
Comanche County $206 114%
National Choicecare $206 114%
Healthsmart Preferred Care $226 - $329 125%
Independent Medical Systems $226 125%
Physicians Cooperative Of Texas $226 125%
Prime Health $247 136%
First Health $259 - $296 143%
Coastal Comp Health Networks $267 147%
National Health Care $267 147%
Occunet $288 159%
Texas Municipal League $288 159%
Medcorp Southwest $308 170%
Rockport Healthcare Group $329 - $370 181%
Bce Emergis Corporation $370 204%
Beech Street $370 204%
Medical Control Network Solutions $370 204%
Multiplan $370 204%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 919 E 32Nd St, Austin, TX 78705
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals