CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Incline Village Community Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $326
Cash Discount Price: $362
vs. Medicare Baseline: 1.80x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Incline Village Community Hospital is $326. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $362. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.80x the Medicare baseline. Located in 880 Alder Street, Incline Village, NV.

Cash / Self-Pay

$362

Average discount available for prompt cash payment at this facility.

Insurance Median

$326

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: $362 (200%)

Insurance Median: $326 (180%)

Cash: $362 (200% of Medicare)

Ins. Median: $326 (180% 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
Blue Cross Blue Shield	$68 - $326	37%
Ca Hlth And Wellness - All Plans	$79 - $369	44%
Medicare (plans)	$92 - $141	51%
UnitedHealthcare	$104 - $326	57%
Healthnet - All Plans	$124 - $344	68%
Aetna	$319	176%
Prominence Healthfirst - All Plans	$319	176%
Admar Multiplan - All Plans	$326	180%
First Health - All Plans	$326	180%
Great West/One Health - All Plans	$326	180%
Hometown Hp - All Plans	$326	180%
Humana	$326	180%
Interplan - All Plans	$326	180%
Multiplan - All Plans	$326	180%
Phcs - All Plans	$326	180%
Cigna	$333	184%
Beech Street/Capp Care - All Plans	$344	190%
Uhn - All Plans	$344	190%
Sierra Health - All Plans	$351	194%

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 $362.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90834.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Incline Village Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90834.
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.