CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: El Centro Regional Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $216
Cash Discount Price: $151
vs. Medicare Baseline: 1.19x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at El Centro Regional Medical Center is $216. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $151. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.19x the Medicare baseline. Located in 1415 Ross Avenue, El Centro, CA.

Cash / Self-Pay

$151

Average discount available for prompt cash payment at this facility.

Insurance Median

$216

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: $151 (83%)

Insurance Median: $216 (119%)

Cash: $151 (83% of Medicare)

Ins. Median: $216 (119% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$95	52%
UnitedHealthcare	$108 - $228	60%
Pacificare-All Plans	$134	74%
Blue Shield-All Plans	$138	76%
Blue Cross Blue Shield	$143 - $228	79%
Mulitplan Primary - All Other Plans	$147	81%
Cigna	$162	89%
Multiplan Comp	$173	95%
Trident - All Plans	$184	101%
Healthnet Comm-All Other Plans	$194	107%
Humana	$201	111%
Ahccs/Medi-Cal Misc - All Plans	$216	119%
Brand New Day Mcal	$216	119%
Medi-Cal	$216	119%
Molina Exchange - All Other Plans	$216	119%
Ambetter / Centene	$222	122%
Brand New Day Comm - All Other Plans	$228	126%
Brand New Day Mcr	$228	126%
Healthnet Mcr Adv	$228	126%
Molina Mcr Adv	$228	126%
Scp Managed Care - All Plans	$228	126%
Tricare	$228	126%
Molina Mcal	$238	131%
Easy Choice Mcr Adv-All Plans	$251	138%
Healthnet Hmo	$285	157%
Cdcr Correctional-All Plans	$296	163%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $151.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90834.

Insurance In-Network Protection Plan

Contact your insurance company to confirm El Centro Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90834.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.