CMS Price Transparency Data

Family therapy session

Facility: Halifax Health Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $147
  • Cash Discount Price: $186
  • vs. Medicare Baseline: 0.81x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Halifax Health Medical Center is $147. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $186. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.81x the Medicare baseline. Located in 303 N Clyde Morris Blvd, Daytona Beach, FL.
Cash / Self-Pay
$186

Average discount available for prompt cash payment at this facility.

Insurance Median
$147

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: $186 (103%)
Insurance Median: $147 (81%)
Cash: $186 (103% of Medicare)
Ins. Median: $147 (81% 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
Embs $65 - $198 36%
Aetna $74 - $330 41%
Florida Healthcare - Hecn $80 44%
Sunshine State Health Plan $81 - $323 45%
Blue Cross Blue Shield $91 - $161 50%
Coventry $99 - $161 55%
Hcra $99 55%
Humana $99 - $321 55%
Medicaid / KanCare $99 55%
Molina $99 - $164 55%
UnitedHealthcare $99 - $161 55%
West Volusia $99 55%
Independent Living Systems $104 - $169 57%
Simply Healthcare Plans $104 57%
Avmed $107 - $116 59%
Caresource Network $109 60%
Centivo $116 - $347 64%
County Of Volusia Corrections $116 64%
A&G Admin $119 66%
Volusia County Employee $119 66%
Claimdoc $140 - $363 77%
Devoted Health $140 - $168 77%
Division Of The Blind $140 - $161 77%
Employers Health Network $140 - $323 77%
Oscar $140 77%
Prime Health Services $140 - $169 77%
Volusia $140 - $163 77%
Tricare $147 81%
Sim Plan Pay $151 83%
Americas Choice Provider Network $161 - $233 89%
Cigna $161 89%
Freedom Health $161 89%
Medicare (plans) $161 89%
Optimum Healthcare $161 89%
Wellcare $161 89%
Hrgi $163 90%
Plotkin Consulting $163 90%
Longevity $169 93%
Evolutions International $175 97%
Clear Spring Health Of Fl $176 97%
Summit America $186 103%
Integrated Health Plan $209 115%
Multiplan $209 115%
Three Rivers $221 122%
Evolutions $242 133%
Fhcp $326 180%
Florida Healthcare $350 193%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals