CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Rock Springs

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $310
  • Cash Discount Price: $380
  • vs. Medicare Baseline: 1.71x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Rock Springs is $310. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $380. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.71x the Medicare baseline. Located in 700 Southeast Inner Loop, Georgetown, TX.
Cash / Self-Pay
$380

Average discount available for prompt cash payment at this facility.

Insurance Median
$310

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: $380 (210%)
Insurance Median: $310 (171%)
Cash: $380 (210% of Medicare)
Ins. Median: $310 (171% 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.

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
Amerigroup $125 - $396 69%
First Health $128 - $234 71%
Multiplan/Phcs/Beech Street $136 - $248 75%
Quiktrip $140 - $256 77%
Beacon $145 - $435 80%
Cenpatico/Superior $150 - $400 83%
Compsych $150 - $274 83%
Healthsmart $160 - $292 88%
United Behavioral Health $165 - $322 91%
Provider Networks Of America $170 - $310 94%
Velocity National Provider Network $170 - $416 94%
Molina $175 - $383 97%
Aetna $195 - $458 108%
Blue Cross Blue Shield $198 - $396 109%
Wilco Care $200 - $350 110%
Scott And White Health Plan $210 - $396 116%
Cigna $256 - $412 141%
Humana $260 - $439 143%
Bright Health $269 - $450 148%
Texas Independence Health Plan $269 - $396 148%
Va Ccn $269 - $396 148%
Tricare $277 - $365 153%
Usfhp $292 - $365 161%
Mhn $312 - $468 172%
Imperial Health $323 - $495 178%
Procare Advantage $323 - $475 178%
American Behavioral $325 - $580 179%
Behavioral Health System $332 - $486 183%
Magellan $340 - $441 187%
Provider Partners Health Plan $345 - $550 190%
Sendero/Idealcare $348 - $474 192%
Healthcare Highways $349 192%
Alliance Coal Health Plan $350 - $550 193%
Mines & Associates $350 - $600 193%
Moda $350 - $450 193%
First Choice Health Network $670 369%
6Degrees Health $710 - $895 392%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 700 Southeast Inner Loop, Georgetown, TX 78626
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Psychiatric