CMS Price Transparency Data
Psychotherapy session (45 minutes)
Facility: Clovis Community Medical Center
Billing Code: 90834 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90834
- Insurance Median: $144
- Cash Discount Price: $287
- vs. Medicare Baseline: 0.79x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Clovis Community Medical Center is $144. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $287. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.79x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$287
Average discount available for prompt cash payment at this facility.
Insurance Median
$144
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: $287 (158%)
Insurance Median: $144 (79%)
Cash: $287 (158% of Medicare)
Ins. Median: $144 (79% 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
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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 | $90 - $228 | 50% |
| Blue Shield | $90 - $228 | 50% |
| Cal Caloptima | $90 | 50% |
| Ccs Fresno | $90 | 50% |
| Ccs Kern | $90 | 50% |
| Ccs Kings | $90 | 50% |
| Ccs Madera/Sacramento | $90 | 50% |
| Ccs Mariposa | $90 | 50% |
| Ccs Merced | $90 | 50% |
| Ccs Stanislaus | $90 | 50% |
| Ccs Tulare | $90 | 50% |
| Central Valley Medical Providers | $90 - $251 | 50% |
| Chdp | $90 | 50% |
| Fresno County Funded Specialty Care | $90 | 50% |
| Generic Care Out Of County | $90 | 50% |
| Generic Ccs Other Counties | $90 | 50% |
| Genetically Handicapped Person | $90 | 50% |
| Gold Coast Medi-Cal | $90 | 50% |
| Medi-Cal Alameda Alliance For Health | $90 | 50% |
| Medi-Cal Blue Shield Promise Health | $90 | 50% |
| Medi-Cal California Health & Wellness Plan | $90 | 50% |
| Medi-Cal Cencal Health | $90 | 50% |
| Medi-Cal Community Health Group | $90 | 50% |
| Medi-Cal Contra Costa Health Plan | $90 | 50% |
| Medi-Cal Health Plan Of San Mateo | $90 | 50% |
| Medi-Cal Inland Empire Health | $90 | 50% |
| Medi-Cal Kern Family Health | $90 | 50% |
| Medi-Cal La Care Health | $90 | 50% |
| Medi-Cal Molina | $90 | 50% |
| Medi-Cal Partnership Health Plan Of Ca | $90 | 50% |
| San Francisco Health Plan Medi-Cal | $90 | 50% |
| Santa Clara Family Health Plan - Premier Health | $90 | 50% |
| Santa Clara Family Health Plan - Valley Health | $90 | 50% |
| Community Care | $92 | 51% |
| Advantek Table Mountain Rancheria Tribal Member | $118 - $228 | 65% |
| Aetna | $118 - $478 | 65% |
| Blue Shield 65 Plus Hmo Ehs | $118 - $228 | 65% |
| Blue Shield 65 Plus Hmo First Choice | $118 - $228 | 65% |
| Blue Shield Hmo-Cvmp/Medpro | $118 - $228 | 65% |
| Blue Shield Promise - Imperial | $118 - $228 | 65% |
| Blue Shield Saint Agnes | $118 - $228 | 65% |
| Blue Shield Sante | $118 - $228 | 65% |
| Brand New Day | $118 - $228 | 65% |
| Bscphp - Dhmso | $118 - $228 | 65% |
| Bscphp - First Choice | $118 - $228 | 65% |
| Bscphp Hmo - First Choice | $118 - $228 | 65% |
| Care1St Hmo - Ehs | $118 - $228 | 65% |
| Cares Act Provider Relief Fund | $118 - $228 | 65% |
| Cigna | $118 - $228 | 65% |
| Gemcare Hmo | $118 - $228 | 65% |
| Generic | $118 - $228 | 65% |
| Generic Bscphp | $118 - $228 | 65% |
| Generic Victims Of Crime | $118 - $228 | 65% |
| Hartford Life Supplement | $118 - $228 | 65% |
| Healthnet Hmo - Cvmp/Medpro | $118 - $228 | 65% |
| Healthnet Hmo - Dhmso | $118 - $228 | 65% |
| Healthnet Hmo - La Salle | $118 - $228 | 65% |
| Healthnet Hmo - Sante | $118 - $228 | 65% |
| Healthnet Sante | $118 - $228 | 65% |
| Healthnet Sante - Sub Cap Dual Risk | $118 - $228 | 65% |
| Healthnet Sante Dual Risk | $118 - $228 | 65% |
| Humana | $118 - $305 | 65% |
| Medi-Cal Innovative Integrated Health | $118 - $228 | 65% |
| Medicare (plans) | $118 - $228 | 65% |
| Meritage Blue Shield 65 Plus | $118 - $228 | 65% |
| Meritage Brand New Day | $118 - $228 | 65% |
| Meritage Healthnet Hmo | $118 - $228 | 65% |
| Railroad Part A | $118 - $228 | 65% |
| Railroad Part A & B | $118 - $228 | 65% |
| Railroad Part B | $118 - $228 | 65% |
| Sante | $118 - $228 | 65% |
| Sante Sub Cap Healthnet Seniority | $118 - $228 | 65% |
| Sante Sub Cap-Blue Shield/Sante | $118 - $228 | 65% |
| Sante-Blue Shield/Sante | $118 - $228 | 65% |
| Sante-Healthnet Seniority | $118 - $228 | 65% |
| Sante-Sub Cap Ma Brand New Day | $118 - $228 | 65% |
| Scan Health Plan | $118 - $228 | 65% |
| Sequoia Pace - Peak Tpa | $118 - $228 | 65% |
| Todays Pyramid | $118 - $228 | 65% |
| UnitedHealthcare | $118 - $232 | 65% |
| Us Marshal | $118 - $228 | 65% |
| Victims Of Crime | $118 - $228 | 65% |
| Well Path (Cfmg) | $118 - $395 | 65% |
| Wellcare | $118 - $228 | 65% |
| Alignment Health Plan | $129 - $251 | 71% |
| Champion Health Plan Of California Ma | $129 - $251 | 71% |
| Innovative Integrated Health Community Plans Hmo | $129 - $251 | 71% |
| Health Plan Of San Joaquin | $134 | 74% |
| Sequoia Pace | $134 | 74% |
| Imperial Health Plan Hmo | $135 - $263 | 74% |
| Employer 90/40 | $144 | 79% |
| Adventist -Mcl Calviva Sub Cap | $148 | 82% |
| Correctcare Integrated Health | $153 - $297 | 84% |
| Healthnet | $173 - $211 | 95% |
| Kaiser | $181 | 100% |
| Central Ca Indian Health | $197 | 109% |
| Nx Health Network Ppo | $197 | 109% |
| Coalinga State Hospital | $235 - $457 | 130% |
| Healthsmart | $244 - $287 | 135% |
| Naphcare Inc-Mendota | $253 - $491 | 140% |
| Coventry Health Care (First Health Network) | $269 | 148% |
| Network By Design | $269 | 148% |
| Generic Multiplan | $305 | 168% |
| Phcs | $305 | 168% |