CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Adventist Health Reedley

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $125
  • Cash Discount Price: $47
  • vs. Medicare Baseline: 0.69x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Adventist Health Reedley is $125. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.69x the Medicare baseline. Located in 372 W Cypress Ave, Reedley, CA.
Cash / Self-Pay
$47

Average discount available for prompt cash payment at this facility.

Insurance Median
$125

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: $47 (26%)
Insurance Median: $125 (69%)
Cash: $47 (26% of Medicare)
Ins. Median: $125 (69% 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
Healthnet Medi-Cal $35 19%
Bc Mcal $90 - $152 50%
Cal Viva Hlth Mcal - All Plans $90 - $96 50%
Central Ca Alliance Mcal Profee Only $90 50%
Dignity Mcal Op/Profee Only-All Other Plans $90 - $106 50%
Medi-Cal $90 - $96 50%
Upn Mcal Profee Only-All Other Plans $90 50%
Blue Shield Mcare $94 - $228 52%
Fhcn Pace Mcr Adv-All Plans $94 - $228 52%
Lasalle Med Assoc Profee Only - All Plans $94 52%
Tricare $94 - $228 52%
UnitedHealthcare $94 - $935 52%
Upn Mcr Adv Profee Only $94 52%
Cigna $95 - $150 52%
Blue Cross Blue Shield $96 - $195 53%
Kern Health Systems Mcal-All Plans $96 - $112 53%
Healthnet- All Other Plans $100 - $136 55%
Ah Employee Health Plan - All Plans $103 - $411 57%
Western Growers/Pinnacle- All Plans $106 - $130 58%
Aetna $110 - $377 61%
Community Care Ipa Mcal-All Plans $112 - $125 62%
Kaiser - All Other Plans $116 - $126 64%
Blue Shield Epn - All Other Plans $125 - $176 69%
Kaiser Mcr Adv $126 - $228 69%
Central Ca Alliance Ccs Profee Only $134 74%
Central Ca Alliance Comm Profee Only - All Other P $134 74%
Blue Shield Non Epn $144 - $186 79%
Central Ca Alliance Chdp Profee Only $179 99%
Physicians Med Group Op/Profee Only- All Plans $185 - $214 102%
Dignity Mcr Adv Op/Profee Only $228 126%
Healthnet- Mcr Adv $228 126%
Phs Prime Health Srvcs $228 126%
Bright Health Mcr Adv - All Plans $358 197%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 372 W Cypress Ave, Reedley, CA 93654
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals