CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Baylor Scott & White the Heart Hospital Plano

Billing Code: 90834 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$161

about 0.9× the $181 Medicare rate · typically $139–$220

modeled estimate · not a bill or quote

What this hospital charges insurers

$153

About the fair price

about $8 under the fair price · 0.8× Medicare

Medicare pays $181 Fair price $161 This hospital $153 Cash price $260 Hospital's list price $434

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $46 Priciest $153

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Psychotherapy session (45 minutes) is about $161 (about 0.9× the $181 Medicare rate). Baylor Scott & White the Heart Hospital Plano charges insurers about $153, or about $260 in cash — about the fair price. Located in Plano, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
Blue Cross Blue Shieldmajor	$152 - $321	84%
Aetnamajor	$146 - $239	81%
Cignamajor	$214 - $252	118%
Humanamajor	$146 - $304	81%
Ambetter (Centene)	$302	167%
Baylor Scott & White	$139 - $252	77%
Cigna HealthSpring	$153	84%
Health Net	$239	132%
+ 6 smaller / regional plans	$153 - $326

Government programs also on file: Medicaid, Military & VA.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 260), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90834.

Insurance Before you use insurance

Call your insurance company to confirm Baylor Scott & White the Heart Hospital Plano is in-network.
Ask your insurer whether prior approval is required for CPT code 90834.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Baylor Scott & White the Heart Hospital Plano

Compare: Psychotherapy session (45 minutes) at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.