CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Shands Jacksonville

Billing Code: 90837 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$166

about 0.9× the $181 Medicare rate · typically $135–$238

modeled estimate · not a bill or quote

What this hospital charges insurers

$185

About the fair price

about $19 over the fair price · 1.0× Medicare

Medicare pays $181 Fair price $166 This hospital $185 Cash price $221 Hospital's list price $402

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $85 Priciest $185

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

A fair price for a Psychotherapy session (60 minutes) is about $166 (about 0.9× the $181 Medicare rate). Shands Jacksonville charges insurers about $185, or about $221 in cash — about the fair price. Located in Jacksonville, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$45 - $193	25%
Blue Cross Blue Shieldmajor	$118 - $204	65%
Aetnamajor	$97 - $331	53%
Humanamajor	$95 - $341	52%
Ambetter (Centene)	$268	148%
AmeriHealth	$104	57%
Devoted Health	$195 - $204	108%
Health Net	$169	93%
Molina	$104 - $210	57%
Simply Healthcare	$113	62%
WellCare	$217	120%
+ 20 smaller / regional plans	$95 - $382

Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 221), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90837.

Insurance Before you use insurance

Call your insurance company to confirm Shands Jacksonville is in-network.
Ask your insurer whether prior approval is required for CPT code 90837.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Shands Jacksonville

Compare: Psychotherapy session (60 minutes) at other FL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.