CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Klickitat Valley Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $231
Cash Discount Price: $156
vs. Medicare Baseline: 1.27x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Klickitat Valley Hospital is $231. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $156. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.27x the Medicare baseline. Located in 310 South Roosevelt, Goldendale, WA.

Cash / Self-Pay

$156

Average discount available for prompt cash payment at this facility.

Insurance Median

$231

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: $156 (86%)

Insurance Median: $231 (127%)

Cash: $156 (86% of Medicare)

Ins. Median: $231 (127% 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
United Behavioral Health	$78	43%
Molina	$144 - $292	79%
Community Health Plan Of Wa	$146	81%
Pacificsource Health Plans	$146 - $306	81%
Coordinated Care	$147	81%
UnitedHealthcare	$151 - $235	83%
Wellpoint	$155 - $385	85%
Cigna	$227	125%
Ambetter / Centene	$306	169%
Regence Blueshield	$306	169%
Health Net Health Plan Of Oregon	$308	170%
Moda Health Plan	$308	170%
Providence Health Plan	$308	170%

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 $156.
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 Klickitat Valley 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.