CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Charleston Area Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $181
  • Cash Discount Price: $273
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Charleston Area Medical Center is $181. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $273. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.00x the Medicare baseline. Located in 501 Morris Street, Charleston, WV.
Cash / Self-Pay
$273

Average discount available for prompt cash payment at this facility.

Insurance Median
$181

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: $273 (151%)
Insurance Median: $181 (100%)
Cash: $273 (151% of Medicare)
Ins. Median: $181 (100% 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
Aetna $64 - $268 35%
The Health Plan Of West Virginia Inc. $64 - $265 35%
Unicare Health Plan Of West Virginia Inc. $64 - $72 35%
Blue Cross Blue Shield $101 - $249 56%
Triwest Va $107 - $176 59%
Choicecare Network $109 - $268 60%
Optimum Choice Inc. $111 - $181 61%
UnitedHealthcare $111 - $268 61%
Tricare $116 - $185 64%
West Virginia Senior Advantage Inc. $116 - $190 64%
City Of Charleston $144 - $205 79%
Naphcare $151 - $273 83%
Integrated Medical Solutions $160 - $246 88%
Caresource $166 - $273 92%
Cigna $179 - $306 99%
Three Rivers Providers Network $187 - $300 103%
Healthsmart $189 - $303 104%
Multiplan $189 - $303 104%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Morris Street, Charleston, WV 25301
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals