CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: The Medical Center of Southeast Texas

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $170
  • Cash Discount Price: $413
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at The Medical Center of Southeast Texas is $170. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $413. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.94x the Medicare baseline. Located in 2555 Jimmy Johnson Blvd, Port Arthur, TX.
Cash / Self-Pay
$413

Average discount available for prompt cash payment at this facility.

Insurance Median
$170

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: $413 (228%)
Insurance Median: $170 (94%)
Cash: $413 (228% of Medicare)
Ins. Median: $170 (94% 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
Community Health Choice $24 - $169 13%
Amerigroup $33 - $139 18%
Community Health Choice Uhrip $33 18%
Harbor Hospice $33 18%
Medicaid / KanCare $33 - $63 18%
Superior Healthplan $33 - $139 18%
Texas Childrens Health Plan $33 - $34 18%
Molina Healthcare $34 - $190 19%
UnitedHealthcare $34 - $182 19%
Beacon Health $38 21%
Self Pay Emergent $62 34%
League Medical Concepts $109 - $153 60%
Medsolutions $125 69%
Employer Direct Healthcare $126 - $141 69%
Texas Medical Management Partners $126 - $141 69%
Humana $134 - $272 74%
Healthspring $139 77%
Medicare (plans) $139 77%
Provider Partners Health Plan $139 77%
Selectcare $139 77%
Tihp (Texas Independence Health Plan) $139 77%
Caresact $141 78%
Hospice $141 78%
Rice Land Hospice $141 78%
Tricare $141 78%
Triwest $141 78%
Cccn Pro Advantage $146 81%
Cigna $146 - $289 81%
Wellcare Of Texas $146 81%
Blue Cross Blue Shield $148 - $413 82%
Wellpath $155 85%
Dept Of Assistive And Rehabilitative Services $206 114%
Corporate Remedies $208 115%
Aetna $239 - $272 132%
Iasis Employees $248 137%
Magellan Behavioral Health $248 137%
Elap Services $273 151%
Texas Workers Compensation $282 156%
First Health $289 159%
Galaxy Health Network $289 159%
Private Healthcare Systems $289 159%
Texas Municipal League $289 159%
Healthsmart $309 170%
Multiplan $330 182%
Lifesynch $337 - $413 186%
Commercial Non-Contracted $413 228%
Heart To Heart Hospice $413 228%
Mhnet $413 228%
Self Pay - Mcd Pending 100 Percent $413 228%
Single Case Agreement $413 228%
United Behavioral Health $413 228%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals