CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Mc Camey Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $399
Cash Discount Price: $454
vs. Medicare Baseline: 2.20x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Mc Camey Hospital is $399. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $454. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 2.20x the Medicare baseline. Located in 2500 Hwy 305 South, McCamey, TX.

Cash / Self-Pay

$454

Average discount available for prompt cash payment at this facility.

Insurance Median

$399

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: $454 (250%)

Insurance Median: $399 (220%)

Cash: $454 (250% of Medicare)

Ins. Median: $399 (220% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 220% of the Medicare baseline (a markup of 120%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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 Healthplan	$182	100%
Firstcare Star	$224 - $278	124%
Capstar	$241	133%
UnitedHealthcare	$316 - $399	174%
Blue Cross Blue Shield	$368 - $544	203%
Aetna	$399 - $514	220%
Humana	$399 - $484	220%
Multiplan	$399	220%
Wellpoint	$399 - $605	220%
Cigna	$484	267%
Three Rivers Provider	$514	283%
Galaxy	$544	300%
Healthsmart	$544	300%
Swhp Mco	$544	300%

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 $454.
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 Mc Camey Hospital 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.