CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Medical City Plano

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $137
Cash Discount Price: $410
vs. Medicare Baseline: 0.76x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Medical City Plano is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $410. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.76x the Medicare baseline. Located in 3901 W 15Th St, Plano, TX.

Cash / Self-Pay

$410

Average discount available for prompt cash payment at this facility.

Insurance Median

$137

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: $410 (226%)

Insurance Median: $137 (76%)

Cash: $410 (226% of Medicare)

Ins. Median: $137 (76% 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
Humana	$24	13%
Superior Health Plan	$29	16%
Cigna	$55 - $153	30%
Aetna	$67 - $248	37%
United	$71	39%
Oscar	$85	47%
Healthcare Highways	$100 - $139	55%
Blue Cross Blue Shield	$101 - $182	56%
Evry Health	$106	58%
Lifecare Hospitals	$123	68%
Curative Administrators	$164	90%
Prominence Health Plan	$164	90%
City Of Mckinney	$184	101%
Fidelis Securecare	$184	101%
National Choicecare	$205	113%
Pc Texas Partners	$225	124%
Physicians Coop Of Tx	$225	124%
Rockport Health Group	$225	124%
Averde Health, Inc	$238	131%
Texas Healthcare Foundation Wc	$266	147%
Coastal Comp Health Networks	$287	158%
Mega Life	$287	158%
Multiplan Phcs	$287	158%
Healthsmart Preferred Care	$307	169%
Lewisville Isd/Dls Consulting	$307	169%
Usa Managed Care	$328	181%
Usc Health Services	$328	181%
Galaxy Health Network	$348	192%
Independent Medical Systems	$410	226%
National Healthcare Solutions	$410	226%
Unicare	$410	226%

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 $410.
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 Medical City Plano 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.