Psychotherapy session (45 minutes)
Facility: Lindsborg Community Hospital
Billing Code: 90834 (CPT)
- CPT Billing Code: 90834
- Insurance Median: $154
- Cash Discount Price: $180
- vs. Medicare Baseline: 0.85x 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 |
|---|---|---|
| Blue Cross Blue Shield | $38 - $99 | 21% |
| Tricare | $76 | 42% |
| Coventry Mcr Adv | $77 - $167 | 42% |
| Cigna | $137 - $299 | 76% |
| UnitedHealthcare | $145 | 80% |
| Coventry Comm-All Other Plans | $145 - $317 | 80% |
| Phcs Preferred-All Plans | $150 - $327 | 83% |
| Multiplan-All Plans | $150 - $327 | 83% |
| Health Partners -All Plans | $154 - $334 | 85% |
| Century Health-All Plans | $154 - $334 | 85% |
| Coventry Wc | $154 - $334 | 85% |
| Wppa-All Plans | $154 - $334 | 85% |
Consumer Guidance & Cost Commentary
For a psychotherapy session (45 minutes) at Lindsborg Community Hospital in Lindsborg, KS, the cash median price is $180.00, while the median negotiated rate across 12 payers is $154.00. This facility, a Critical Access Hospital, operates with a gross charge of $257.00. When comparing these rates to the Medicare benchmark of $181.34, the cash price is slightly lower, and the negotiated rates average 85% of the Medicare amount. It is important to note that while commercial negotiated rates often exceed cash prices due to administrative overhead, this specific code shows a negotiated rate that is lower than the cash option. Patients with high-deductible plans may find paying the cash median of $180.00 directly more cost-effective than relying on insurance, which could result in a higher out-of-pocket expense if their deductible has not been met.
To minimize costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% for upfront payment. Since the facility is a voluntary non-profit, these discounts are often available to bypass the standard insurance billing cycle and its associated administrative fees. Additionally, because the No Surprises Act prohibits balance billing for emergency care and non-emergency services at in-network facilities, patients should verify that all services are covered under their plan before scheduling. If a discrepancy arises, patients should request a formal, itemized billing audit to identify any errors or unbundled codes, as over 80% of hospital bills contain inaccuracies that can be corrected through written dispute