CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Graham Regional Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $320
  • Cash Discount Price: $493
  • vs. Medicare Baseline: 1.76x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Graham Regional Medical Center is $320. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $493. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.76x the Medicare baseline. Located in 1301 Montgomery Road, Graham, TX.
Cash / Self-Pay
$493

Average discount available for prompt cash payment at this facility.

Insurance Median
$320

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: $493 (272%)
Insurance Median: $320 (176%)
Cash: $493 (272% of Medicare)
Ins. Median: $320 (176% 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 $148 82%
Choicecare Network $148 82%
Superior Healthplan $148 82%
Wellpoint $200 110%
Curative $296 163%
Aetna $320 176%
Cigna $320 176%
Blue Cross Blue Shield $335 - $370 185%
Three Rivers Provider Network $419 231%
Health Advantage Network $444 245%
Healthsmart Preferred Care $444 245%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1301 Montgomery Road, Graham, TX 76450
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals