CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Primary Children's Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $308
  • Cash Discount Price: $325
  • vs. Medicare Baseline: 1.70x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Primary Children's Hospital is $308. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $325. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.70x the Medicare baseline. Located in 100 North Mario Capecchi Drive, Salt Lake City, UT.
Cash / Self-Pay
$325

Average discount available for prompt cash payment at this facility.

Insurance Median
$308

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: $325 (179%)
Insurance Median: $308 (170%)
Cash: $325 (179% of Medicare)
Ins. Median: $308 (170% 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
Health Plan Of Nevada $78 - $98 43%
UnitedHealthcare $82 - $364 45%
American Health $87 - $247 48%
Healthy U $87 - $104 48%
Molina $87 - $364 48%
Selecthealth $87 - $364 48%
Southwest Behavioral Health $87 - $145 48%
Tricare $154 85%
Triwest $154 85%
Donor Connect $156 - $173 86%
Aetna $308 - $369 170%
Awh Connected $308 - $369 170%
Byu Athletics $308 - $364 170%
Campbell Scientific $308 - $364 170%
Cigna $308 - $364 170%
Deseret Mutual $308 - $364 170%
Emi $308 - $364 170%
Emi Health $308 - $364 170%
First Choice $308 - $364 170%
First Choice Of The Midwest $308 - $364 170%
Franklin County $308 - $364 170%
Global Excel $308 - $364 170%
Health Utah $308 - $364 170%
Humana $308 - $364 170%
Hygeia Corporation $308 - $364 170%
Ifit $308 - $364 170%
Juniper Systems $308 - $364 170%
Lw Miller $308 - $364 170%
Managed Care Admin $308 - $364 170%
Medcare International $308 - $364 170%
Motivhealth $308 - $364 170%
Pehp $308 - $364 170%
Prodegi Corp Benefit $308 - $364 170%
Tanner Llc $308 - $364 170%
Uofu $308 - $364 170%
Utah Tech $308 - $364 170%
Wise Network $308 - $364 170%
First Health $312 - $369 172%
Blue Cross Blue Shield $317 - $373 175%
Springtide $317 - $373 175%
Utah Behavioral Health Network $351 194%
Altius Mhnet Behavioral Health $382 211%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 North Mario Capecchi Drive, Salt Lake City, UT 84113
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens