CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Cascade Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $160
Cash Discount Price: $222
vs. Medicare Baseline: 0.88x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Cascade Medical Center is $160. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $222. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.88x the Medicare baseline. Located in 817 Commercial Street, Leavenworth, WA.

Cash / Self-Pay

$222

Average discount available for prompt cash payment at this facility.

Insurance Median

$160

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: $222 (122%)

Insurance Median: $160 (88%)

Cash: $222 (122% of Medicare)

Ins. Median: $160 (88% 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
Tricare	$109	60%
First Choice Health Network	$120	66%
Pacificsource Health Plans	$120	66%
Medicaid / KanCare	$148	82%
Community Health Plan Of Wa Mcd Rep	$154	85%
Coordinated Care Of Wa Mcd Rep	$154	85%
Molina Healthcare Of Washington Mcd Rep	$154	85%
Asuris Northwest Health	$155 - $249	85%
Aetna	$160 - $249	88%
Blue Cross Blue Shield	$160 - $211	88%
Humana	$160	88%
Medicare (plans)	$160	88%
Molina Healthcare Of Washington Mcr Adv	$162	89%
Wellcare Health Plan Inc Mcr Adv	$173	95%
Ambetter / Centene	$174	96%
Community Health Plan Of Wa	$180	99%
Cigna	$232	128%
Washington Department Of Labor And Industry	$247	136%

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 $222.
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 Cascade Medical Center 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.