CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Adventist Health Ukiah Valley

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $109
Cash Discount Price: $50
vs. Medicare Baseline: 0.60x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Adventist Health Ukiah Valley is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.60x the Medicare baseline. Located in 275 Hospital Drive, Ukiah, CA.

Cash / Self-Pay

$50

Average discount available for prompt cash payment at this facility.

Insurance Median

$109

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: $50 (28%)

Insurance Median: $109 (60%)

Cash: $50 (28% of Medicare)

Ins. Median: $109 (60% 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
Blue Cross Blue Shield	$66	36%
Kaiser Medi-Cal	$67	37%
Medi-Cal	$67	37%
Blue Shield Mcr Adv	$94	52%
Kaiser Mcr Adv	$94	52%
Tricare	$94	52%
Cigna	$102	56%
Ah Employee Health Plan - All Plans	$103	57%
UnitedHealthcare	$103 - $108	57%
Aetna	$110	61%
Western Growers-All Plans	$134	74%
Healthnet-All Plans	$136	75%
Mendocino Lcc District-All Plans	$150 - $174	83%
Blue Shield Epn-All Other Plans	$176	97%
Kaiser-All Other Plans	$185 - $214	102%
Blue Shield Non-Epn	$186	103%
Three Rivers-All Plans	$208 - $240	115%

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 $50.
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 Adventist Health Ukiah Valley 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.