CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Baylor Scott & White Continuing Care Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $248
Cash Discount Price: $229
vs. Medicare Baseline: 1.37x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Baylor Scott & White Continuing Care Hospital is $248. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $229. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.37x the Medicare baseline. Located in 546 N Kegley Rd, Temple, TX.

Cash / Self-Pay

$229

Average discount available for prompt cash payment at this facility.

Insurance Median

$248

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: $229 (126%)

Insurance Median: $248 (137%)

Cash: $229 (126% of Medicare)

Ins. Median: $248 (137% 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	$118	65%
Corvel	$151	83%
Injury Management Organization	$179	99%
UnitedHealthcare	$191	105%
Midcoast	$210	116%
Blue Cross Blue Shield	$214 - $260	118%
Careworks Fka Rockport	$216	119%
Sedgwick	$216	119%
Independent Medical System	$229	126%
Cigna	$245 - $287	135%
Curative	$248	137%
First Health	$267	147%
Healthsmart	$267 - $287	147%
Humana	$267	147%
Imagine Health	$275	152%
Aetna	$287	158%
University Of Mary Hardin-Baylor	$287	158%
Three Rivers	$344	190%

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 $229.
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 Baylor Scott & White Continuing Care 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.