CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Coastal Communities Hospital

Billing Code: 90837 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$226

about 1.2× the $181 Medicare rate · typically $198–$265

modeled estimate · not a bill or quote

What this hospital charges insurers

$227

About the fair price

about $1 over the fair price · 1.3× Medicare

Medicare pays $181 Fair price $226 This hospital $227 Cash price $520 Hospital's list price $520

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $98 Priciest $227

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Psychotherapy session (60 minutes) is about $226 (about 1.2× the $181 Medicare rate). Coastal Communities Hospital charges insurers about $227, or about $520 in cash — about the fair price. Located in Santa Ana, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$227	125%
Blue Cross Blue Shieldmajor	$227 - $866	125%
Aetnamajor	$273 - $285	151%
Cignamajor	$269 - $338	148%
Humanamajor	$227	125%
Kaiser Permanentemajor	$98 - $320	54%
Health Net	$227 - $520	125%
Presbyterian	$98 - $227	54%
Sentara	$137 - $228	76%
+ 47 smaller / regional plans	$98 - $520

Government programs also on file: Medicaid, Military & VA.

Excludes 12 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 520), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90837.

Insurance Before you use insurance

Call your insurance company to confirm Coastal Communities Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 90837.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Coastal Communities Hospital

Compare: Psychotherapy session (60 minutes) at other CA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.