Psychotherapy session (45 minutes)
Facility: Boston Children's Hospital
Billing Code: 90834 (CPT)
- CPT Billing Code: 90834
- Insurance Median: $353
- Cash Discount Price: $500
- vs. Medicare Baseline: 1.95x 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 |
|---|---|---|
| Cdphp | $188 - $523 | 104% |
| Harvard Pilgrim | $195 - $416 | 108% |
| Blue Cross Blue Shield | $217 - $406 | 120% |
| Aetna | $230 - $516 | 127% |
| United | $230 - $514 | 127% |
| Mgb/Allways | $234 - $455 | 129% |
| Tufts Public Plan | $236 - $379 | 130% |
| United Ri Nj Ny | $242 - $387 | 133% |
| Ambetter / Centene | $243 - $389 | 134% |
| Carelon Strategies/Bhs | $250 - $400 | 138% |
| UnitedHealthcare | $250 - $523 | 138% |
| Carelon/Beacon | $288 - $461 | 159% |
| Fallon | $293 - $474 | 162% |
| Health New England | $310 - $497 | 171% |
| Interlink Transplant | $326 - $523 | 180% |
| Cigna | $326 - $615 | 180% |
| Ets/Lifetrac | $326 - $523 | 180% |
| Humana | $346 - $554 | 191% |
| Community Health Options | $346 - $554 | 191% |
| Coventry/Hcvm/First Health | $353 - $566 | 195% |
| Multiplan/Phcs | $353 - $584 | 195% |
Consumer Guidance & Cost Commentary
The cash median price for this psychotherapy session at Boston Children's Hospital is $500. While this facility is a voluntary non-profit private hospital in Boston, MA, the cash rate serves as a key benchmark for patients considering self-pay options or those with high-deductible plans. It is important to note that commercial negotiated rates, such as the $353 median negotiated rate, are often higher than cash prices due to administrative overhead and contract dynamics, meaning paying out-of-pocket can sometimes be the most cost-effective choice if your insurance allowed amount exceeds the cash price.
For patients relying on insurance, the Medicare amount of $181.34 provides a clear baseline for the "true cost" of this service, with commercial rates averaging 1.9 times the Medicare benchmark. Although the data does not include specific state or county average comparisons for this procedure, the significant gap between the Medicare rate and the facility's gross charge of $500 highlights the importance of verifying your specific plan's allowed amount before scheduling. Consumers should proactively request "self-pay" or "prompt-pay" discounts from the hospital, as these upfront payment incentives can reduce the final bill by bypassing costly insurance claims processing and potential balance billing scenarios.