CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Children's Hospital Colorado

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $228
  • Cash Discount Price: $228
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Children's Hospital Colorado is $228. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $228. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.26x the Medicare baseline. Located in 13123 E 16Th Ave, Aurora, CO.
Cash / Self-Pay
$228

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: $228 (126%)
Insurance Median: $228 (126%)
Cash: $228 (126% 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
Ccha Behavioral Health $18 - $127 10%
Integrated Health Plan $27 - $113 15%
Kaiser $62 - $550 34%
Rocky Mountain Health Plan Behavioral Health $72 - $302 40%
Carelon Behavioral Health $81 - $528 45%
Denver Health Medical Plan $81 - $566 45%
Presbyterian Health Plan $87 - $430 48%
Colorado Access $89 - $122 49%
Colorado Access Behavioral Health $89 - $122 49%
Molina Healthcare Of Nebraska $100 - $415 55%
Molina Healthcare Of New Mexico $100 - $415 55%
Peak Health Alliance/Ebms $100 - $452 55%
Rocky Mountain Health Plan $100 - $490 55%
Healthy Blue Of Nebraska $105 - $437 58%
Humana $110 - $528 61%
UnitedHealthcare $112 - $505 62%
Evernorth Behavioral Health $118 - $490 65%
Interlink National $118 - $566 65%
Centivo $125 - $520 69%
Select Health $127 - $528 70%
Uchealth Plan Administrators $127 - $528 70%
Blue Cross Blue Shield $129 - $566 71%
Cigna $131 - $544 72%
Aetna $132 - $603 73%
Department Of Corrections $141 - $588 78%
Comppsych Behavioral Health $154 - $641 85%
First Choice Health $154 - $641 85%
Midlands Choice $154 - $641 85%
National Preferred Provider Network $154 - $641 85%
Multiplan $156 - $648 86%
Cofinity $163 - $679 90%
First Choice Of The Midwest $163 - $679 90%
Usa Managed Care Organization $163 - $679 90%
First Health Network $167 - $694 92%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 13123 E 16Th Ave, Aurora, CO 80045
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens