CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Adventist Health Delano

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $228
Cash Discount Price: $68
vs. Medicare Baseline: 1.26x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Adventist Health Delano is $228. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.26x the Medicare baseline. Located in 1401 Garces Highway, Delano, CA.

Cash / Self-Pay

$68

Average discount available for prompt cash payment at this facility.

Insurance Median

$228

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: $68 (37%)

Insurance Median: $228 (126%)

Cash: $68 (37% of Medicare)

Ins. Median: $228 (126% 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 Shield Epn - All Other Plans	$74	41%
Blue Cross Blue Shield	$115 - $283	63%
Dignty Hlth Mcal Op Only	$141	78%
Kaiser Medi-Cal Ip/Op Only	$141	78%
Medi-Cal	$141	78%
Universal Care Mcal	$141	78%
Healthnet Medi-Cal	$167	92%
Kern Health System Mcal	$181	100%
Coventry- All Plans	$204	112%
Blue Shield Non-Epn	$221	122%
Bakersfield Fam Med Grp-All Plans	$228	126%
Healthnet Mcr Adv	$228	126%
Kern Mcr Adv Dual Dnsp-All Other Plans	$228	126%
Medicare (plans)	$228 - $365	126%
Tricare	$228	126%
UnitedHealthcare	$228 - $245	126%
Universal Care Mcr- All Other Plans	$228	126%
Healthnet- All Other Plans	$229	126%
County Of Kern Network - All Plans	$238	131%
Gem Care- All Plans	$238	131%
Aetna	$251	138%
Foundation For Medical Care Of Kern County - All P	$255	141%
Cigna	$272	150%
Western Growers - All Plans	$275	152%
Kaiser Comm Ip/Op Only- All Other Plans	$393	217%
Ah Employee Health Plan - All Plans	$411	227%
Centivo - All Plans	$514	283%

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 $68.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90837.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Delano is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90837.
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.