CMS Price Transparency Data
Psychotherapy session (60 minutes)
Facility: Adventist Health White Memorial
Billing Code: 90837 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90837
- Insurance Median: $240
- Cash Discount Price: $134
- vs. Medicare Baseline: 1.32x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Adventist Health White Memorial is $240. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $134. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.32x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$134
Average discount available for prompt cash payment at this facility.
Insurance Median
$240
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: $134 (74%)
Insurance Median: $240 (132%)
Cash: $134 (74% of Medicare)
Ins. Median: $240 (132% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Bc Medi-Cal | $127 | 70% |
| Access Medi-Cal | $141 | 78% |
| Ahp Medi-Cal | $141 | 78% |
| Alta Los Angeles Mcal 1/1/19 | $141 | 78% |
| Avanti Mcal | $141 | 78% |
| Bella Vista Medi-Cal Op/Profee Only | $141 | 78% |
| Healthcare Inc Medi-Cal | $141 | 78% |
| Lasalle Mg Medi-Cal | $141 | 78% |
| Medi-Cal | $141 | 78% |
| Molina Medi-Cal | $141 | 78% |
| Pacific Alliance Medi-Cal | $141 | 78% |
| Pacific Ipa Medi-Cal | $141 | 78% |
| Preferred Ipa La Care Mcal Cap | $141 | 78% |
| Preferred Medi-Cal | $141 | 78% |
| Altamed Medi-Cal - All Other Plans | $162 | 89% |
| Healthnet Mcal | $167 | 92% |
| Fcs Ipa Medi-Cal Op/Profee Only | $169 | 93% |
| Preferred Healthy | $176 | 97% |
| Blue Shield Epn | $177 | 98% |
| Access Group | $194 | 107% |
| Ahp - All Other Plans | $194 | 107% |
| Lasalle Mg Commercial - All Other Plans | $194 | 107% |
| Assoc Hispanic Physcns Mcal | $197 | 109% |
| Blue Shield - All Other Plans | $206 | 114% |
| Blue Shield Mcr Adv | $223 | 123% |
| Access Senior - All Other Plans | $228 | 126% |
| Ahp Senior | $228 | 126% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $228 | 126% |
| Altamed Connect | $228 | 126% |
| Avanti Mcr Adv - All Other Plans | $228 | 126% |
| Brand New Day Mcare - All Plans | $228 | 126% |
| Bs Va Mcare | $228 | 126% |
| Care First Mcare - All Other Plans | $228 | 126% |
| Clever Care - All Plans | $228 | 126% |
| Fcs Ipa Mcr Advan Op/Profee Only | $228 | 126% |
| Humana | $228 | 126% |
| Lasalle Mg Senior | $228 | 126% |
| Medicare (plans) | $228 | 126% |
| Molina Mcare | $228 | 126% |
| Pacific Alliance Mcare - All Other Plans | $228 | 126% |
| Preferred Senior | $228 | 126% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $228 | 126% |
| Tricare | $228 | 126% |
| UnitedHealthcare | $228 - $598 | 126% |
| Blue Cross Blue Shield | $237 - $334 | 131% |
| Fcs Ipa Op/Profee Only - All Other Plans | $240 | 132% |
| Bright Health - All Plans | $263 | 145% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $274 | 151% |
| Preferred Commercial - All Other Plans | $274 | 151% |
| Pacific Ipa - All Other Plans | $282 | 156% |
| Intergrated Medical - All Plans | $297 | 164% |
| Kaiser- All Plans | $304 | 168% |
| Molina Benefit Exchange - All Other Plans | $308 | 170% |
| Cigna | $314 | 173% |
| Healthnet - All Other Plans | $336 | 185% |
| Php-Prospect Health Plan Cap - All Plans | $342 | 189% |
| Healthnet Comm Care | $346 | 191% |
| Blue Shield Medi-Cal | $352 | 194% |
| Aetna | $361 | 199% |
| Caremore Mcare - All Plans | $371 | 205% |
| Hcpamg - All Plans | $372 | 205% |
| Healthcare Inc - All Other Plans | $408 | 225% |
| La Care Mcr Adv - All Plans | $408 | 225% |
| Ah Employee Health Plan - All Plans | $411 | 227% |
| Western Growers/Pinnacle - All Plans | $416 | 229% |
| First Heatlh Ppo - All Plans | $430 | 237% |
| Phcs Ppo - All Plans | $482 | 266% |
| Scan Health Mcare - All Plans | $482 | 266% |
| Care First Medi-Cal | $492 | 271% |
| Centivo - All Plans | $514 | 283% |
| Ahf - All Plans | $556 | 307% |
| Beech Street - All Plans | $556 | 307% |
| Interplan Ppo - All Plans | $556 | 307% |
| Corvel Corp - All Plans | $594 | 328% |
| Multiplan Ppo - All Plans | $616 | 340% |
| Healthmannet - All Plans | $631 | 348% |
| Next Inc Ppo - All Plans | $631 | 348% |
| Trpn - All Plans | $631 | 348% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $668 | 368% |
| Fpn Ppo - All Plans | $668 | 368% |
| Healthnet Mcr Adv | $1,135 | 626% |