Psychotherapy session (45 minutes)
Facility: Salina Regional Health Center
Billing Code: 90834 (CPT)
- CPT Billing Code: 90834
- Insurance Median: $311
- Cash Discount Price: $246
- vs. Medicare Baseline: 1.72x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Preferred Phsic | $97 - $311 | 53% |
| Blue Cross Blue Shield | $105 - $110 | 58% |
| Preferred Healthcare - All Other Plans | $131 - $420 | 72% |
| Cigna | $145 - $467 | 80% |
| Multiplan (Mpi)-All Plans | $145 - $467 | 80% |
| Aetna | $145 - $467 | 80% |
| Providers Care (Wppa)-All Plans | $145 - $467 | 80% |
Consumer Guidance & Cost Commentary
For a psychotherapy session lasting 45 minutes at Salina Regional Health Center in Salina, Kansas, the cash median price is $246.00, which is notably lower than the facility's negotiated rates. While the facility's negotiated rate of $311.00 exceeds the cash price, patients with high-deductible plans may find paying cash directly more cost-effective if their insurance negotiated rate for this service is higher than $246.00. It is important to note that commercial insurance rates often include administrative overhead and contract markups that can inflate the baseline price, so comparing the cash price directly to the negotiated rate can reveal potential savings. Additionally, patients should verify their specific plan's allowed amount before scheduling, as in-network status does not guarantee the lowest possible price, and some facilities may offer further reductions for self-pay or prompt-pay arrangements.
The facility's pricing is benchmarked against Medicare, which sets a fixed reimbursement rate of $181.34 for this procedure. The cash median of $246.00 represents a markup of approximately 1.7 times the Medicare amount, which falls within the range often seen for commercial negotiations. Since Medicare rates are calculated based on actual provider cost reports and serve as a scientifically validated baseline for healthcare delivery, they provide a clear reference point for evaluating facility pricing. Patients should be aware that hospitals often issue summary bills that obscure individual charges, so requesting a full itemized CPT-coded statement is the most effective way to identify errors, unbundled codes, or services not rendered before finalizing payment.