CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Adventist Health Tillamook

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $108
Cash Discount Price: $102
vs. Medicare Baseline: 0.60x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Adventist Health Tillamook is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $102. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.60x the Medicare baseline. Located in 1000 Third Street, Tillamook, OR.

Cash / Self-Pay

$102

Average discount available for prompt cash payment at this facility.

Insurance Median

$108

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: $102 (56%)

Insurance Median: $108 (60%)

Cash: $102 (56% of Medicare)

Ins. Median: $108 (60% 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
Pacificsource - All Plans	$48 - $101	26%
Blue Cross Blue Shield	$49 - $224	27%
Medicare (plans)	$49 - $96	27%
Moda Health Plan - All Plans	$49 - $93	27%
Hvhs Mcare - All Plans	$50 - $111	28%
Sterling Life - All Plans	$51 - $95	28%
Devoted Health	$53 - $99	29%
Aetna	$55 - $140	30%
Lifewise - All Plans	$95 - $233	52%
Ah Employee Health Plan - All Plans	$99 - $243	55%
First Choice Health- All Plans	$99 - $243	55%
Health Net - All Plans	$99 - $243	55%
Cigna	$100	55%
Phcs Preferred - All Plans	$100	55%
UnitedHealthcare	$100 - $194	55%
Ods Health Plan - All Other Plans	$102 - $177	56%
Providence Preferred - All Plans	$103 - $253	57%
Workers Comp	$105 - $258	58%

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 $102.
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 Adventist Health Tillamook 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.