CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Southern Monterey County Memorial Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $276
  • Cash Discount Price: $259
  • vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Southern Monterey County Memorial Hospital is $276. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $259. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.52x the Medicare baseline. Located in 300 Canal Street, King City, CA.
Cash / Self-Pay
$259

Average discount available for prompt cash payment at this facility.

Insurance Median
$276

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: $259 (143%)
Insurance Median: $276 (152%)
Cash: $259 (143% of Medicare)
Ins. Median: $276 (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.

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
Blue Shield Va $54 30%
Aspire Hp-All Plans $55 30%
Blue Cross Blue Shield $55 - $262 30%
Tricare $55 30%
Imperial Hp - All Plans $62 34%
Healthnet Prison $71 39%
Gold Coast Mcal-All Plans $96 53%
Medi-Cal $96 53%
Ccah- All Plans $164 90%
Pcmi - All Plans $259 143%
Pinnacle-All Plans $259 143%
Comm Health Ntwrk - All Plans $276 152%
Monterey Bay Public-All Plans $276 152%
Triwest - All Plans $276 152%
Valley Hlth Plan - All Plans $276 152%
Aetna $293 162%
Cigna $293 162%
Corvel-All Plans $293 162%
Multiplan/Phcs-All Plans $293 162%
Blue Shield Exchange $295 163%
Coventry-All Plans $310 171%
Healthnet Comml-All Other Plans $310 171%
Provdr Ntwrk America - All Plans $310 171%
UnitedHealthcare $310 171%
Blue Shield-All Other Plans $328 181%
Interplan - All Plans $328 181%
United Ag Benefit-All Plans $569 314%
Valenz-All Plans $569 314%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Canal Street, King City, CA 93930
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals