CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Sherman Oaks Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $227
Cash Discount Price: $227
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Sherman Oaks Hospital is $227. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $227. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.25x the Medicare baseline. Located in 4929 Van Nuys Blvd, Sherman Oaks, CA.

Cash / Self-Pay

$227

Average discount available for prompt cash payment at this facility.

Insurance Median

$227

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: $227 (125%)

Insurance Median: $227 (125%)

Cash: $227 (125% of Medicare)

Ins. Median: $227 (125% 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
Aids Healthcare Foundation	$67 - $232	37%
Blue Shield Of Promise	$67	37%
Health Net Of Ca	$67 - $332	37%
L.A Care Health Plan	$67 - $227	37%
Molina	$67 - $227	37%
Traditional Medi-Cal	$67	37%
Blue Shield Of Ca, Va	$97	53%
Blue Cross Blue Shield	$119	66%
Alignment	$227	125%
Elite Health Plan	$227	125%
Imperial Health Plan	$227	125%
Managed Health Network	$227	125%
Medicare (plans)	$227	125%
Renal Payer Solutions	$227	125%
Tricare	$227	125%
Usa Senior Care Network	$227	125%
Brand New Day	$229 - $341	126%
Corvel	$259	143%
Zelis Healthcare	$259	143%
Americas Choice Provider Network	$264	146%
Multiplan	$264	146%
Prime Health Services	$264	146%
Three Rivers	$264	146%
Healthsmart Preferred Network	$267	147%
Provider Select	$270	149%
Provider Network Of America	$273	151%
Beacon Health Strategies	$275	152%
Aetna	$290	160%
Ca Foundation For Medical Center	$299	165%
Worker Comp	$299	165%
Employer Direct Healthcare	$318	175%
Naphcare	$352	194%

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 $227.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90834.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sherman Oaks Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90834.
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.