CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Shands Jacksonville

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $192
  • Cash Discount Price: $221
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Shands Jacksonville is $192. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $221. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.06x the Medicare baseline. Located in 655 W 8Th St, Jacksonville, FL.
Cash / Self-Pay
$221

Average discount available for prompt cash payment at this facility.

Insurance Median
$192

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: $221 (122%)
Insurance Median: $192 (106%)
Cash: $221 (122% of Medicare)
Ins. Median: $192 (106% 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
UnitedHealthcare $45 - $193 25%
Carelon Health $95 52%
Humana $95 - $341 52%
Aetna $97 - $331 53%
Florida Community Care $100 55%
Amerihealth Caritas Florida $104 57%
Community Care Plan $104 57%
Molina $104 - $210 57%
Simply Healthcare $113 62%
Blue Cross Blue Shield $118 - $204 65%
Volusia Health Network $169 93%
Northeast Florida State Hospital $177 98%
Positive Healthcare Partners $177 - $204 98%
Ameri-Plus Preferred Care $185 102%
Capital Health Plan $185 - $201 102%
North Florida Evaluation & Treatment Center $189 104%
Beacon Health Strategies $191 105%
Careplus Health Plan $191 105%
Florida Health Care Plan $191 - $290 105%
Devoted Health Plan $195 - $204 108%
Wellcare Of Florida $217 120%
Centivo $221 122%
Florida Complete Care $232 128%
Disney Cruise Line $241 133%
Health First Health Plan $261 - $281 144%
Mental Health Associates $261 144%
Wellpath $266 147%
Ambetter / Centene $268 148%
Prime Health Services $281 - $301 155%
Florida Health Alliance $289 159%
Archbold Medical Center $301 166%
Genex $301 166%
Rockport Provider $301 166%
Corvel Corp $341 188%
First Health $341 188%
Florida Hospital Healthcare System $341 188%
Medsave Usa Tpa $341 188%
Fringe Benefits Coordinators $361 - $382 199%
Multiplan $361 199%
Novanet $361 199%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 655 W 8Th St, Jacksonville, FL 32209
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals