CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Astria Sunnyside Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $47
Cash Discount Price: $44
vs. Medicare Baseline: 0.26x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Astria Sunnyside Hospital is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.26x the Medicare baseline. Located in 1016 Tacoma Avenue, Sunnyside, WA.

Cash / Self-Pay

$44

Average discount available for prompt cash payment at this facility.

Insurance Median

$47

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: $44 (24%)

Insurance Median: $47 (26%)

Cash: $44 (24% of Medicare)

Ins. Median: $47 (26% 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
Medicare (plans)	$17 - $89	9%
Aetna	$19 - $68	10%
Healthcomp_Ihs	$19	10%
Humana	$19 - $69	10%
Medicaid / KanCare	$19 - $161	10%
Molina	$19	10%
Tricare	$19	10%
Va	$19	10%
Cigna	$46	25%
Li	$47	26%
First_Choice	$58	32%
Kaiser	$60	33%
Tpsc	$60	33%
Premera	$63	35%
UnitedHealthcare	$65	36%
Fhpw	$68	37%
Healthcomp	$69	38%
Bcchp	$77	42%
Great_Rivers	$77	42%
Zenith	$77	42%

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 $44.
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 Astria Sunnyside 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.