CMS Price Transparency Data
Psychotherapy session (45 minutes)
Facility: Children's Hosp of Los Angeles
Billing Code: 90834 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90834
- Insurance Median: $59
- Cash Discount Price: $90
- vs. Medicare Baseline: 0.33x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Children's Hosp of Los Angeles is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $90. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.33x the Medicare baseline. Located in 4650 Sunset Blvd, Ms 108, Los Angeles, CA.
Cash / Self-Pay
$90
Average discount available for prompt cash payment at this facility.
Insurance Median
$59
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: $90 (50%)
Insurance Median: $59 (33%)
Cash: $90 (50% of Medicare)
Ins. Median: $59 (33% 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.
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 |
|---|---|---|
| Medi-Cal | $14 - $67 | 8% |
| Molina | $14 - $90 | 8% |
| Inland Empire Health Plan | $14 - $90 | 8% |
| Shriners Hospital | $27 | 15% |
| Medicaid / KanCare | $27 - $90 | 15% |
| Incentive Health Network | $36 | 20% |
| Non-Contract Payors | $36 | 20% |
| Beech Street | $36 | 20% |
| Health Net | $38 - $112 | 21% |
| Emanate Health Medical Center Mmc | $40 | 22% |
| Cigna | $42 | 23% |
| Kaiser | $42 - $51 | 23% |
| Axminster Medical Group | $43 - $90 | 24% |
| Facey Medical Group | $43 - $90 | 24% |
| St. John's Health Clinic | $43 - $90 | 24% |
| Staywell Insurance | $45 | 25% |
| Accarent Health | $45 | 25% |
| Altamed | $45 - $90 | 25% |
| Citrus Valley Phys Grp | $45 - $58 | 25% |
| Gemcare IPA | $45 | 25% |
| UnitedHealthcare | $45 - $90 | 25% |
| Sansum Clinic | $45 | 25% |
| Pioneer Prov Ntwk | $45 | 25% |
| Managed Care Systems | $45 | 25% |
| Exceptional Care Medical Group | $45 - $90 | 25% |
| Mercy Care | $45 | 25% |
| La Care | $45 - $90 | 25% |
| Aetna | $47 - $50 | 26% |
| Book Md | $47 | 26% |
| Good Samaritan Medical Group | $48 | 26% |
| Applecare Medical Group | $48 - $90 | 26% |
| Blue Shield | $49 - $90 | 27% |
| Centinela Valley IPA | $50 - $90 | 28% |
| Bella Vista Med Grp | $50 - $90 | 28% |
| Community Care | $50 | 28% |
| Culinary Health Fund | $50 - $90 | 28% |
| Intl - Quality Health Management | $50 - $90 | 28% |
| National Healthcare Solutions | $50 | 28% |
| Global Care Medical Group | $50 - $90 | 28% |
| Health Care La IPA | $50 - $90 | 28% |
| Premier Physicians Ntwk | $50 - $90 | 28% |
| Choice Medical Group | $50 | 28% |
| Intl - Global Medical Management | $50 | 28% |
| Intl - Global Excel Management | $50 - $180 | 28% |
| Seoul Medical Group | $53 | 29% |
| Access Medical Group | $53 | 29% |
| Blue Cross Blue Shield | $53 - $180 | 29% |
| Preferred IPA - Commercial | $54 | 30% |
| Sanus Health | $54 | 30% |
| Alhambra Hospital Medical Center | $54 - $90 | 30% |
| Emanate Health Medical Center Commercial | $54 | 30% |
| Ventura County Health Plan | $54 | 30% |
| Delta Health Systems | $54 | 30% |
| Family Care Specialists | $54 - $90 | 30% |
| Providence Health Network | $54 | 30% |
| Bright Medical Associates | $54 | 30% |
| Self-Pay | $54 | 30% |
| Private Hlthcare System | $54 | 30% |
| Heritage Provider Network | $54 - $90 | 30% |
| Allied Pacific IPA | $54 - $90 | 30% |
| Los Angeles Medical Center IPA | $54 - $90 | 30% |
| Sierra Health and Life Insurance Company | $56 | 31% |
| Marian Health Services | $58 | 32% |
| Calvo Selectcare | $58 | 32% |
| Redlands Community Hospital | $58 | 32% |
| Axis Services International | $58 | 32% |
| Intl - Erv Travel Services | $58 - $63 | 32% |
| Embassy - Saudi Arabia | $58 | 32% |
| Intl - Concierge Healthcare Services | $58 | 32% |
| Lakewood Health Plan | $58 | 32% |
| Intl - Msh China Enterprise Services | $58 | 32% |
| Prime Health Services | $58 | 32% |
| Seaside Health Plan | $58 - $90 | 32% |
| Star Healthcare Network Commercial | $58 | 32% |
| Serra Community Med Clinic - Commercial | $58 | 32% |
| Intl - Aixin Life Insurance Co | $58 - $90 | 32% |
| Plotkin Health | $58 | 32% |
| Cedar Sinai Med Grp | $58 | 32% |
| Angeles IPA | $63 - $90 | 35% |
| Multiplan | $63 | 35% |
| Primecare Medical Network | $63 | 35% |
| Korean American Med Grp | $63 | 35% |
| Memorialcare Med Foundation | $63 | 35% |
| Beaver Medical Group | $63 | 35% |
| Valley Presbyterian Hospital | $67 - $90 | 37% |
| Interlink Health Services | $68 | 37% |
| Associated Hispanic Physicians IPA | $68 - $90 | 37% |
| Embassy - Kuwait | $68 | 37% |
| Prospect Medical Group | $68 | 37% |
| Hispanic Physician IPA | $68 - $90 | 37% |
| Self-Pay International | $72 | 40% |
| Embassy - All Others | $72 | 40% |
| St Francis Medical Center | $81 - $90 | 45% |
| Choc Health Alliance | $84 | 46% |
| Medicare (plans) | $89 - $225 | 49% |
| Adventist Health Physicians | $90 - $411 | 50% |
| Dignity Health | $90 | 50% |
| Preferred IPA | $90 | 50% |
| El Proyecto Del Barrio | $90 | 50% |
| Accountable Health | $90 | 50% |
| Mabuhay Medical Group | $90 | 50% |
| Crown City Medical Group | $90 | 50% |
| Souther California Hosp System - Mmc | $90 | 50% |
| San Judas Med Grp | $90 | 50% |
| Cal Care IPA | $90 | 50% |
| Community Care IPA Mmc | $90 | 50% |
| White Memorial Medical Center | $90 | 50% |
| Asian Community Medical Group | $90 | 50% |
| Serendib Healthways Mmc | $90 | 50% |
| Cencal Health | $90 | 50% |
| Healthy New Life Medical Corp | $90 | 50% |
| Southern Atlantic Medical Group Mmc | $90 - $144 | 50% |
| Southland San Gabriel Valley Medical Group | $90 | 50% |
| Kern Family Health Plan | $90 | 50% |
| Primary Care and Pediatric IPA | $90 | 50% |
| Gold Coast Health Plan | $90 | 50% |
| Pacific Alliance Medical Center | $90 | 50% |
| Care 1St | $90 | 50% |
| Serra Community Med Clinic | $90 | 50% |
| Point Comfort Underwriters | $90 | 50% |
| Beverly Hospital | $90 | 50% |
| Noble Community Medical Associates | $90 | 50% |
| Avalon IPA | $90 | 50% |
| Karing Physicians Medical Group | $90 | 50% |
| Family Health Alliance Med Grp | $90 | 50% |
| Watts Healthcare Mmc | $90 | 50% |
| California Pacific Physicians Medical Group | $90 | 50% |
| Hollywood Presbyterian Medical Center | $90 | 50% |
| Employee Health Systems Med Grp | $90 | 50% |
| Regent Medical Group | $90 | 50% |
| Imperial Health Holdings Medical Group | $90 | 50% |
| Caloptima | $90 | 50% |
| Superior Choice Medical Group | $90 | 50% |
| Community Family Care IPA | $90 | 50% |
| Champus | $221 | 122% |