CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Loma Linda University Children's Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $275
Cash Discount Price: $207
vs. Medicare Baseline: 1.52x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Loma Linda University Children's Hospital is $275. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $207. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.52x the Medicare baseline. Located in 11234 Anderson Street Suite A, Loma Linda, CA.

Cash / Self-Pay

$207

Average discount available for prompt cash payment at this facility.

Insurance Median

$275

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: $207 (114%)

Insurance Median: $275 (152%)

Cash: $207 (114% of Medicare)

Ins. Median: $275 (152% 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
Adventist Health	$92	51%
Lluh Dept Of Risk Management	$110	61%
Kaiser Foundation Hospitals	$175 - $306	97%
Epic Health Plan	$184 - $276	101%
Alpha Care Medical Group	$204 - $306	112%
Dignity Health	$204 - $306	112%
Inland Empire Health Plan (Iehp)	$204 - $973	112%
Upland Medical Group	$204	112%
Vantage Medical Group	$204 - $306	112%
UnitedHealthcare	$230	127%
Molina Healthcare Of Ca	$257 - $274	142%
Global Benefits Group	$275	152%
Temecula Valley Physicians Medical Group	$275	152%
Cigna	$294 - $340	162%
Networks By Design	$298	164%
Prime Health Services	$322 - $390	178%
Multiplan	$325 - $367	179%
Heritage Provider Network	$335	185%
Galaxy Health	$390	215%
Blue Cross Blue Shield	$2,489	1373%
Aetna	$3,171	1749%

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 $207.
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 Loma Linda University Children's Hospital 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.