CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Prosser Memorial Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $105
Cash Discount Price: $111
vs. Medicare Baseline: 0.58x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Prosser Memorial Hospital is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $111. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.58x the Medicare baseline. Located in 723 Memorial Street, Prosser, WA.

Cash / Self-Pay

$111

Average discount available for prompt cash payment at this facility.

Insurance Median

$105

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: $111 (61%)

Insurance Median: $105 (58%)

Cash: $111 (61% of Medicare)

Ins. Median: $105 (58% 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
Community Health Plan Of Washington	$43 - $105	24%
Coordinated Care	$43 - $81	24%
Kaiser Permanente	$43 - $731	24%
UnitedHealthcare	$43 - $161	24%
Amerigroup	$45 - $86	25%
Molina	$45 - $105	25%
Health Alliance Northwest	$50 - $105	28%
Wellcare	$50 - $105	28%
Humana	$51 - $171	28%
Aetna	$60 - $171	33%
Cigna	$98 - $165	54%
Premera	$103 - $161	57%
Asuris	$118 - $181	65%
Health Management Adminstrators	$118 - $181	65%
Regence	$118 - $181	65%
Ambetter / Centene	$141 - $189	78%
First Choice	$171	94%
Multiplan	$171 - $181	94%

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 $111.
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 Prosser Memorial 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.