CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Adventist Health Reedley

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $171
  • Cash Discount Price: $70
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Adventist Health Reedley is $171. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.94x the Medicare baseline. Located in 372 W Cypress Ave, Reedley, CA.
Cash / Self-Pay
$70

Average discount available for prompt cash payment at this facility.

Insurance Median
$171

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: $70 (39%)
Insurance Median: $171 (94%)
Cash: $70 (39% of Medicare)
Ins. Median: $171 (94% 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 $51 28%
Bc Mcal $132 73%
Cal Viva Hlth Mcal - All Plans $132 - $141 73%
Central Ca Alliance Mcal Profee Only $132 73%
Dignity Mcal Op/Profee Only-All Other Plans $132 - $155 73%
Medi-Cal $132 - $141 73%
Upn Mcal Profee Only-All Other Plans $132 73%
Blue Shield Mcare $138 - $228 76%
Fhcn Pace Mcr Adv-All Plans $138 - $228 76%
Lasalle Med Assoc Profee Only - All Plans $138 76%
Tricare $138 - $228 76%
UnitedHealthcare $138 - $935 76%
Upn Mcr Adv Profee Only $138 76%
Kern Health Systems Mcal-All Plans $141 - $165 78%
Blue Cross Blue Shield $142 - $255 78%
Cigna $143 - $222 79%
Aetna $145 - $377 80%
Healthnet- All Other Plans $148 - $201 82%
Ah Employee Health Plan - All Plans $152 - $411 84%
Western Growers/Pinnacle- All Plans $157 - $192 87%
Community Care Ipa Mcal-All Plans $165 - $183 91%
Kaiser - All Other Plans $170 - $186 94%
Blue Shield Epn - All Other Plans $185 - $224 102%
Kaiser Mcr Adv $186 - $228 103%
Central Ca Alliance Ccs Profee Only $198 109%
Central Ca Alliance Comm Profee Only - All Other P $198 109%
Blue Shield Non Epn $213 - $237 117%
Dignity Mcr Adv Op/Profee Only $228 126%
Healthnet- Mcr Adv $228 126%
Phs Prime Health Srvcs $228 126%
Central Ca Alliance Chdp Profee Only $264 146%
Physicians Med Group Op/Profee Only- All Plans $273 - $316 151%
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