Psychotherapy session (45 minutes)
Facility: Centura St. Catherine-Dodge City
Billing Code: 90834 (CPT)
- CPT Billing Code: 90834
- Insurance Median: $89
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.49x 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 |
|---|---|---|
| Kansas Health | $89 | 49% |
| Medicare (plans) | $89 | 49% |
| Humana | $89 | 49% |
| Cigna | $89 | 49% |
| Blue Cross Blue Shield | $89 - $118 | 49% |
| Kaiser | $89 | 49% |
| Aetna | $89 | 49% |
Consumer Guidance & Cost Commentary
For the psychotherapy session (45 minutes) at Centura St. Catherine-Dodge City in Dodge City, KS, the facility's negotiated rates range from $89 to $118 depending on the insurance plan. This price is consistent with the state average for this service, as the median negotiated rate across payers is also $89. The facility's rate is 50% higher than the Medicare benchmark of $181.34, which serves as the objective baseline for healthcare costs in this region. While commercial insurance contracts often include administrative overhead that inflates prices by 20% to 40% above the true cost of care, this facility's pricing aligns closely with the state median, suggesting a standard market rate rather than an inflated chargemaster markup.
Patients should be aware that while in-network insurance provides protection against balance billing, the actual amount paid can vary based on individual plan deductibles and negotiated tiers. If you have a high-deductible plan, paying cash directly might be more cost-effective than using insurance, as the facility's cash price could be lower than your out-of-pocket maximum or the specific negotiated rate your insurer applies. Before scheduling, it is advisable to contact the hospital directly to confirm their "self-pay" or "prompt-pay" discount options, which can offer significant fee reductions for upfront payment. Additionally, always request a detailed, itemized bill to ensure no errors or unbundled charges are present, as over 80% of hospital bills contain discrepancies that can be resolved through a formal audit.