CMS Price Transparency Data
Psychotherapy session (60 minutes)
Facility: Clovis Community Medical Center
Billing Code: 90837 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90837
- Insurance Median: $181
- Cash Discount Price: $367
- vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Clovis Community Medical Center is $181. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $367. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.00x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$367
Average discount available for prompt cash payment at this facility.
Insurance Median
$181
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: $367 (202%)
Insurance Median: $181 (100%)
Cash: $367 (202% of Medicare)
Ins. Median: $181 (100% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medi-Cal Contra Costa Health Plan | $51 | 28% |
| Ccs Mariposa | $51 | 28% |
| San Francisco Health Plan Medi-Cal | $51 | 28% |
| Medi-Cal Cencal Health | $51 | 28% |
| Generic Ccs Other Counties | $51 | 28% |
| Medi-Cal Health Plan of San Mateo | $51 | 28% |
| Medi-Cal Blue Shield Promise Health | $51 | 28% |
| Ccs Madera/Sacramento | $51 | 28% |
| Chdp | $51 | 28% |
| Ccs Kings | $51 | 28% |
| Medi-Cal California Health & Wellness Plan | $51 | 28% |
| Medi-Cal Partnership Health Plan of Ca | $51 | 28% |
| Medi-Cal Inland Empire Health | $51 | 28% |
| Ccs Fresno | $51 | 28% |
| Medi-Cal Molina | $51 | 28% |
| Ccs Tulare | $51 | 28% |
| Cal Caloptima | $51 | 28% |
| Ccs Merced | $51 | 28% |
| Genetically Handicapped Person | $51 | 28% |
| Ccs Stanislaus | $51 | 28% |
| Santa Clara Family Health Plan - Premier Health | $51 | 28% |
| Gold Coast Medi-Cal | $51 | 28% |
| Medi-Cal Alameda Alliance for Health | $51 | 28% |
| Generic Care Out of County | $51 | 28% |
| Medi-Cal Community Health Group | $51 | 28% |
| Fresno County Funded Specialty Care | $51 | 28% |
| Medi-Cal Kern Family Health | $51 | 28% |
| Santa Clara Family Health Plan - Valley Health | $51 | 28% |
| Ccs Kern | $51 | 28% |
| Blue Shield | $51 - $261 | 28% |
| Medi-Cal La Care Health | $51 | 28% |
| Blue Cross Blue Shield | $51 - $292 | 28% |
| Health Plan of San Joaquin | $76 | 42% |
| Sequoia Pace | $76 | 42% |
| Sante | $79 - $228 | 44% |
| Adventist -McL Calviva Sub Cap | $84 | 46% |
| Healthnet | $98 - $269 | 54% |
| Central Valley Medical Providers | $115 - $321 | 63% |
| Community Care | $117 | 65% |
| Bscphp - Dhmso | $173 - $228 | 95% |
| Hartford Life Supplement | $173 - $228 | 95% |
| Blue Shield Sante | $173 - $228 | 95% |
| Healthnet HMO - Cvmp/Medpro | $173 - $228 | 95% |
| Care1St HMO - Ehs | $173 - $228 | 95% |
| Generic Victims of Crime | $173 - $228 | 95% |
| Healthnet Sante Dual Risk | $173 - $228 | 95% |
| Well Path (Cfmg) | $173 - $505 | 95% |
| Meritage Brand New Day | $173 - $228 | 95% |
| Medicare (plans) | $173 - $228 | 95% |
| Blue Shield Promise - Imperial | $173 - $228 | 95% |
| Sante-Sub Cap Ma Brand New Day | $173 - $228 | 95% |
| Bscphp - First Choice | $173 - $228 | 95% |
| Scan Health Plan | $173 - $228 | 95% |
| Us Marshal | $173 - $228 | 95% |
| Sante-Blue Shield/Sante | $173 - $228 | 95% |
| Medi-Cal Innovative Integrated Health | $173 - $228 | 95% |
| Railroad Part B | $173 - $228 | 95% |
| Sante-Healthnet Seniority | $173 - $228 | 95% |
| Brand New Day | $173 - $228 | 95% |
| Advantek Table Mountain Rancheria Tribal Member | $173 - $228 | 95% |
| Generic | $173 - $228 | 95% |
| Railroad Part A | $173 - $228 | 95% |
| Railroad Part A & B | $173 - $228 | 95% |
| Cigna | $173 - $285 | 95% |
| Aetna | $173 - $631 | 95% |
| Blue Shield Hmo-Cvmp/Medpro | $173 - $228 | 95% |
| Sante Sub Cap-Blue Shield/Sante | $173 - $228 | 95% |
| Blue Shield 65 Plus HMO Ehs | $173 - $228 | 95% |
| Healthnet Sante | $173 - $228 | 95% |
| Cares Act Provider Relief Fund | $173 - $228 | 95% |
| Healthnet HMO - Sante | $173 - $228 | 95% |
| Meritage Blue Shield 65 Plus | $173 - $228 | 95% |
| Sequoia Pace - Peak Tpa | $173 - $228 | 95% |
| Blue Shield Saint Agnes | $173 - $228 | 95% |
| Healthnet Sante - Sub Cap Dual Risk | $173 - $228 | 95% |
| Todays Pyramid | $173 - $228 | 95% |
| Wellcare | $173 - $228 | 95% |
| Meritage Healthnet HMO | $173 - $228 | 95% |
| Healthnet HMO - La Salle | $173 - $228 | 95% |
| Generic Bscphp | $173 - $228 | 95% |
| Sante Sub Cap Healthnet Seniority | $173 - $228 | 95% |
| Blue Shield 65 Plus HMO First Choice | $173 - $228 | 95% |
| Gemcare HMO | $173 - $228 | 95% |
| Bscphp HMO - First Choice | $173 - $228 | 95% |
| Victims of Crime | $173 - $228 | 95% |
| Humana | $173 - $390 | 95% |
| Healthnet HMO - Dhmso | $173 - $228 | 95% |
| UnitedHealthcare | $173 - $241 | 95% |
| Kaiser | $181 | 100% |
| Employer 90/40 | $184 | 101% |
| Champion Health Plan of California Ma | $190 - $251 | 105% |
| Innovative Integrated Health Community Plans HMO | $190 - $251 | 105% |
| Alignment Health Plan | $190 - $251 | 105% |
| Imperial Health Plan HMO | $199 - $263 | 110% |
| Correctcare Integrated Health | $224 - $297 | 124% |
| Nx Health Network PPO | $252 | 139% |
| Central Ca Indian Health | $252 | 139% |
| Healthsmart | $312 - $367 | 172% |
| Coventry Health Care (First Health Network) | $344 | 190% |
| Network By Design | $344 | 190% |
| Coalinga State Hospital | $345 - $457 | 190% |
| Naphcare Inc-Mendota | $371 - $491 | 205% |
| PHCS | $390 | 215% |
| Generic Multiplan | $390 | 215% |