CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: HCA Houston Healthcare Clear Lake

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $90
Cash Discount Price: $263
vs. Medicare Baseline: 0.50x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at HCA Houston Healthcare Clear Lake is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $263. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.50x the Medicare baseline. Located in 500 W Medical Center Blvd, Webster, TX.

Cash / Self-Pay

$263

Average discount available for prompt cash payment at this facility.

Insurance Median

$90

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: $263 (145%)

Insurance Median: $90 (50%)

Cash: $263 (145% of Medicare)

Ins. Median: $90 (50% 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
Superior Health Plan	$16	9%
Humana	$33	18%
Community Health Choice Mcd	$34	19%
Amerigroup	$37	20%
Cigna	$39 - $210	22%
Blue Cross Blue Shield	$43 - $92	24%
Texas Childrens Health Plans	$44 - $62	24%
Oscar	$51	28%
United	$53 - $118	29%
Ipa Management Services	$66	36%
Healthcare Highways	$67	37%
Aetna	$70 - $114	39%
Evry Health	$72	40%
Imagine Health	$92	51%
Christus (Usfhp)	$105	58%
Curative Administrators	$105	58%
Healthsmart Preferred Care	$113 - $223	62%
Averde Health	$118	65%
Fidelis Securecare Of Tx	$118	65%
Multiplan	$131 - $236	72%
Coventry National First Health	$140	77%
Physicians Cooperative Of Texas	$144	79%
Rockport Workers Comp	$144	79%
Beech Street	$158 - $210	87%
Independent Medical System	$158	87%
National Healthcare Solutions	$158	87%
Southwest Medical	$158	87%
Coastal Comp	$171	94%
Physicians, Inc	$223	123%
Affiliated Ppo	$236	130%
Texas Athletic Network	$300 - $600	165%

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 $263.
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 HCA Houston Healthcare Clear Lake 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.