CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Boston Children's Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $353
  • Cash Discount Price: $500
  • vs. Medicare Baseline: 1.95x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Boston Children's Hospital is $353. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $500. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.95x the Medicare baseline. Located in 300 Longwood Avenue, Boston, MA.
Cash / Self-Pay
$500

Average discount available for prompt cash payment at this facility.

Insurance Median
$353

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: $500 (276%)
Insurance Median: $353 (195%)
Cash: $500 (276% of Medicare)
Ins. Median: $353 (195% 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
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.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Longwood Avenue, Boston, MA 02115
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens