CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Adventist Health Sonora

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $199
  • Cash Discount Price: $45
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Adventist Health Sonora is $199. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $45. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.10x the Medicare baseline. Located in 1000 Greenley Road, Sonora, CA.
Cash / Self-Pay
$45

Average discount available for prompt cash payment at this facility.

Insurance Median
$199

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: $45 (25%)
Insurance Median: $199 (110%)
Cash: $45 (25% of Medicare)
Ins. Median: $199 (110% 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
Bc Mcal $67 37%
Celtic Ca Hlth Well Mcal - All Plans $67 - $133 37%
Central Ca Alliance Mcal $67 - $109 37%
Healthnet Mcal $67 - $143 37%
Medi-Cal $67 - $96 37%
Blue Shield Mcare $94 - $244 52%
Central Ca Alliance Mcr Adv Profee Only $94 52%
Healthnet Mcr Adv $94 - $244 52%
Tricare $94 - $244 52%
UnitedHealthcare $94 - $273 52%
Central Ca Alliance Ccs Mcal $101 - $109 56%
Central Ca Alliance Comm Profee Only-All Other Pla $101 56%
Ah Employee Health Plan - All Plans $103 - $440 57%
Central Ca Alliance Chdp Mcal $109 - $134 60%
Cigna $115 - $302 63%
Greatwest Oa/Pos/Hmo $122 - $270 67%
Greatwest Ppo - All Other Plans $122 - $286 67%
Western Growers/Pinnacle - All Plans $130 - $229 72%
Healthnet - All Other Plans $136 - $279 75%
Kaiser - All Plans $159 88%
Aetna $169 - $244 93%
Blue Shield Epn $176 - $241 97%
Blue Shield - All Other Plans $186 - $242 103%
Bc Exchange $191 105%
Bc Mcs $198 - $212 109%
Bc Non-Mcs - All Other Plans $198 - $212 109%
Beech Street- All Plans $208 - $270 115%
Trpn - Three Rivers Ppo - All Plans $208 - $254 115%
Phs Prime Health Srvcs-All Plans $244 135%
Affordable Health - All Plans $286 158%
Interplan - All Plans $286 158%
Multiplan - All Plans $286 158%
Phcs Ppo - All Plans $286 158%
Stanilaus Foundation - All Plans $302 167%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Greenley Road, Sonora, CA 95370
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals