CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Boulder Community Health

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $216
  • Cash Discount Price: $285
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Boulder Community Health is $216. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $285. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.19x the Medicare baseline. Located in 4747 Arapahoe Avenue, Boulder, CO.
Cash / Self-Pay
$285

Average discount available for prompt cash payment at this facility.

Insurance Median
$216

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: $285 (157%)
Insurance Median: $216 (119%)
Cash: $285 (157% of Medicare)
Ins. Median: $216 (119% 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 Cross Blue Shield $66 - $610 36%
Multiplan $69 - $393 38%
Phcs $69 - $393 38%
Colorado Community Health Alliance (Ccha) $87 48%
Humana $90 - $161 50%
UnitedHealthcare $92 - $166 51%
Medicaid / KanCare $93 - $98 51%
Rocky Mountain Health Maintenance Organization $93 - $219 51%
Colorado Access $102 - $127 56%
Aetna $106 - $496 58%
Devoted Health $106 - $228 58%
Health Spring $106 - $161 58%
Medicare (plans) $106 - $216 58%
Clear Spring $109 - $166 60%
Beech Street Community Medical Associates $138 76%
Cigna $143 - $455 79%
Select Health Colorado Public Option $148 - $355 82%
Select Health Value Network $148 - $376 82%
Kaiser Ppo $163 - $666 90%
Kaiser Public Option $163 - $558 90%
Kaiser $225 - $663 124%
Rocky Mountain Health Maintenance Organization Private Plan $398 219%
Integrated Health Plans Bch $427 235%
Casualty Management Network, Prime Health Services Behavioral Health $484 267%
Mines And Associates $484 267%
Three Rivers Provider Network $484 267%
Zelis (Profee) $484 267%
Casualty Management Network, Prime Health Services Community Medical Associates $512 282%
National Preferred Provider Network $512 282%
Rockport Healthcare Group Community Medical Associates $512 282%
Usa $512 282%
Rockport Healthcare Group Bch $529 292%
Health Payors Organization $541 298%
Health Management Network Bch Community Medical Associates $546 301%
Health Management Network Community Medical Associates $546 301%
National Provider Network $552 304%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4747 Arapahoe Avenue, Boulder, CO 80304
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals