CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Casa Colina Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $228
  • Cash Discount Price: $150
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Casa Colina Hospital is $228. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $150. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.26x the Medicare baseline. Located in 255 E Bonita Ave, Pomona, CA.
Cash / Self-Pay
$150

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: $150 (83%)
Insurance Median: $228 (126%)
Cash: $150 (83% 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.

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
Medi-Cal $96 53%
Kaiser Mcal $106 58%
Heritage Prvdr Ntwrk Comm - All Other Plans $175 97%
Heritage Prvdr Ntwrk Mcr $175 97%
Healthnet Comm - All Other Plans $179 99%
Heritage Prvdr Ntwrk Mcal $183 101%
Aetna $198 - $274 109%
Prospect Hp Mcal $205 113%
Promed Hlth Ntwrk Op Only - All Plans $217 120%
Corvel - All Plans $219 121%
Coventry - All Plans $219 121%
Humana $219 - $228 121%
Multiplan - All Plans $219 121%
Three Rivers - All Plans $219 121%
UnitedHealthcare $219 - $228 121%
Blue Cross Blue Shield $228 - $256 126%
Blue Shield Mcr Adv $228 126%
Caremore Mcr Adv - All Plans $228 126%
Central Hlth Plan - All Plans $228 126%
Doctors Managed Op Only - All Plans $228 126%
Empire Healthcare Op Only - All Plans $228 126%
Epic Comm - All Other Plans $228 126%
Epic Mcr Adv $228 126%
Focus Healthcare Wc - All Plans $228 126%
Healthnet Mcr Adv $228 126%
Iehp - All Other Plans $228 126%
Iehp Mcr Adv $228 126%
Kaiser Comm - All Other Plans $228 126%
Kaiser Mcr Adv $228 126%
Premiercare Op Only - All Plans $228 126%
Prospect Hp Mcr Adv $228 126%
Triwest - All Plans $228 126%
Wellcare Mcr Adv - All Plans $228 126%
Iehp Mcal $241 133%
Cigna $244 135%
Prospect Hp Comm - All Other Plans $251 138%
Brand New Day Mcr Adv - All Plans $262 144%
Affiliated Hlth Funds - All Plans $285 157%
Galaxy Provdr Ntwrk - All Plans $306 169%
Blue Shield Comm - All Other Plans $323 178%
Healthcare Partners - All Other Plans $350 193%
Healthcare Partners Mcr $350 193%
Primecare Comm - All Other Plans $350 193%
Primecare Mcr Adv $350 193%
Prospect Med Grp Alta - All Plans $372 205%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 255 E Bonita Ave, Pomona, CA 91767
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals