CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Yoakum Community Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $116
Cash Discount Price: $101
vs. Medicare Baseline: 0.64x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Yoakum Community Hospital is $116. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $101. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.64x the Medicare baseline. Located in 1200 Carl Ramert Drive, Yoakum, TX.

Cash / Self-Pay

$101

Average discount available for prompt cash payment at this facility.

Insurance Median

$116

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: $101 (56%)

Insurance Median: $116 (64%)

Cash: $101 (56% of Medicare)

Ins. Median: $116 (64% 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
Blue Cross Blue Shield	$64 - $116	35%
Humana	$64	35%
Medicare (plans)	$64	35%
Prime Health Svcs Mcr Advantage	$64	35%
Scott & White Mcare Advan	$64	35%
Superior Mcr Advantage	$64	35%
Triwest Va Ccn-All Plans	$64	35%
Tx Independent Hp Mcr Advantage-All Plans	$64	35%
UnitedHealthcare	$64 - $113	35%
Superior Hix-All Other Plans	$79	44%
Kempton Group Admin Ppo-All Plans	$102	56%
Entrust - All Plans	$108	60%
Medicaid / KanCare	$113 - $155	62%
Amera-Net-All Plans	$116	64%
Phcs Multiplan - All Plans	$116	64%
Scott & White Ppo-All Other Plans	$116	64%
Healthsmart Ppo-All Other Plans	$121	67%
Blue Bell Creameries Emp-All Plans	$124	68%
Cigna	$124	68%
Americas Health Plan-All Plans	$132	73%
Beech Street-All Plans	$132	73%
Directcare America-All Plans	$132	73%
Galaxy Ppo - All Plans	$132	73%
Health Star Comm Ip/Op Only - All Plans	$132	73%
Medcorp Southwest Ppo-All Plans	$132	73%
Medical Control Ppo-All Plans	$132	73%
Aetna	$140	77%
Healthsmart Work Comp	$140	77%
Prime Health Svcs Ppo-All Other Plans	$140	77%

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 $101.
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 Yoakum Community 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.