CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Anaheim Global Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $258
  • Cash Discount Price: $520
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Anaheim Global Medical Center is $258. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $520. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.42x the Medicare baseline. Located in 1025 S Anaheim Blvd, Anaheim, CA.
Cash / Self-Pay
$520

Average discount available for prompt cash payment at this facility.

Insurance Median
$258

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: $520 (287%)
Insurance Median: $258 (142%)
Cash: $520 (287% of Medicare)
Ins. Median: $258 (142% 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
Altamed Mcal Hmo (Ancillary) $67 37%
Healthcare Partners $67 37%
Hollywood Presbyterian $67 37%
Kaiser $67 - $320 37%
Medi-Cal Hmo/Non Contract $67 37%
Prime Health Services $67 - $442 37%
State Of California $67 - $304 37%
Brand New Day $81 - $285 45%
Altamed $94 - $227 52%
Caloptima $94 - $228 52%
Choc Health Alliance $94 52%
County Of Orange $94 - $520 52%
Family Choice Mcal $94 52%
Heritage Provider Network $94 - $312 52%
Prospect Health Plan $94 - $342 52%
Ihhi Reciprocity $156 86%
Altamed Health Services $216 - $227 119%
Champus $219 121%
Aetna $227 - $285 125%
Astiva $227 125%
Blue Shield Of California $227 - $866 125%
California Health Plan $227 125%
Central Health Plan Of California Inc $227 125%
Champion Health Plan $227 125%
Citizens Choice $227 125%
Clever Care Health Plan $227 125%
Easy Choice $227 125%
For Your Benefit $227 125%
Health Net Inc $227 - $359 125%
Healthcare Partners Sr Hmo $227 125%
Hollywood Presbyerian $227 125%
Humana $227 125%
Medicare (plans) $227 125%
Monarch $227 125%
Onecare $227 125%
Other Sr Non Contract $227 125%
Physicians For Healthy Hospitals $227 125%
Scan $227 125%
St Joseph Hospital Sr $227 125%
UnitedHealthcare $227 125%
Us Federal Marshall/Department Of Immigration $227 125%
Velocity National Provider Network Sr $227 125%
Verda Health Plan $227 125%
Veterans Administration $227 125%
Choice Physicians Network $228 126%
Imperial Health Plan Of Ca $228 126%
Innovative Integrated Health $228 126%
Medcare Partners Health Plan $228 126%
Self Pay/Ab774/Cbo Use Only $228 126%
Us Dept Of Labor $228 126%
Victim Of Violent Crime $228 126%
Victim Of Violent Crime (Mep) $228 126%
Victoria Hospice $228 126%
Velocity National Provider Network Auto Med Ppo $234 129%
Healthcare Partners Hmo $247 136%
Align Sr Care $254 140%
Cigna $269 - $416 148%
Coventry Health $273 - $284 151%
First Health $273 151%
Interplan $276 - $390 152%
Veterans Evaluation Services $285 157%
Multiplan $298 - $364 164%
Three Rivers Network $298 - $400 164%
Velocity National Provider Network Wc $304 168%
Magellan Behavioral Health $312 172%
Primecare Medical Network Inc $312 172%
Staywell/Island Home Ins $320 176%
Naphcare $354 195%
Health Net $359 - $392 198%
Networks By Design $364 201%
Healthsmart Preferred Network $390 215%
Velocity National Provider Network Ppo $400 221%
Provider Network Of America $416 229%
Ahmc Healthcare $520 287%
Lucet Bh Scan Sr $520 287%
Managed Health Network $520 287%
Other Insurance Loa $520 287%
Other Non Contracted Plans $520 287%
Private Pay $520 287%
Usbhpc $520 287%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1025 S Anaheim Blvd, Anaheim, CA 92805
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals