CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Sharp Coronado Hospital and Hlthcr Ctr

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $259
Cash Discount Price: $353
vs. Medicare Baseline: 1.43x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Sharp Coronado Hospital and Hlthcr Ctr is $259. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $353. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.43x the Medicare baseline. Located in 250 Prospect Place, Coronado, CA.

Cash / Self-Pay

$353

Average discount available for prompt cash payment at this facility.

Insurance Median

$259

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: $353 (195%)

Insurance Median: $259 (143%)

Cash: $353 (195% of Medicare)

Ins. Median: $259 (143% 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
UnitedHealthcare	$18 - $132	10%
Aetna	$140 - $377	77%
Cigna	$140	77%
Community Health Group	$160 - $330	88%
Epic Americas	$160	88%
Health Net	$160 - $318	88%
California Health And Wellness	$218 - $236	120%
Indian Health Council	$259	143%
Molina	$287 - $353	158%
Medi-Cal	$294 - $316	162%
Blue Cross Blue Shield	$300 - $325	165%
Interplan	$353	195%
Allianz Global Assistance	$377	208%
County Medical Services	$462	255%

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 $353.
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 Sharp Coronado Hospital and Hlthcr Ctr 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.