CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Halifax Health Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $238
  • Cash Discount Price: $442
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Halifax Health Medical Center is $238. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $442. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.31x the Medicare baseline. Located in 303 N Clyde Morris Blvd, Daytona Beach, FL.
Cash / Self-Pay
$442

Average discount available for prompt cash payment at this facility.

Insurance Median
$238

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: $442 (244%)
Insurance Median: $238 (131%)
Cash: $442 (244% of Medicare)
Ins. Median: $238 (131% 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
Coventry $94 - $350 52%
Hcra $94 52%
Humana $94 - $321 52%
Medicaid / KanCare $94 52%
Molina $94 - $164 52%
UnitedHealthcare $94 - $332 52%
West Volusia $94 52%
Aetna $98 - $332 54%
Independent Living Systems $98 - $169 54%
Simply Healthcare Plans $98 54%
Sunshine State Health Plan $98 - $323 54%
Caresource Network $103 57%
Embs $137 - $470 76%
Tricare $147 81%
Americas Choice Provider Network $161 - $498 89%
Blue Cross Blue Shield $161 - $243 89%
Cigna $161 89%
Division Of The Blind $161 89%
Freedom Health $161 89%
Medicare (plans) $161 89%
Optimum Healthcare $161 89%
Wellcare $161 89%
Devoted Health $168 93%
Longevity $169 93%
Prime Health Services $169 - $332 93%
Clear Spring Health Of Fl $176 97%
Florida Healthcare - Hecn $189 104%
Avmed $254 - $276 140%
County Of Volusia Corrections $276 152%
A&G Admin $282 156%
Volusia County Employee $282 156%
Employers Health Network $323 178%
Fhcp $326 180%
Oscar $332 183%
Volusia $332 - $387 183%
Centivo $347 191%
Florida Healthcare $350 193%
Sim Plan Pay $359 198%
Claimdoc $363 200%
Hrgi $387 213%
Plotkin Consulting $387 213%
Evolutions International $415 229%
Summit America $442 244%
Integrated Health Plan $498 275%
Multiplan $498 275%
Three Rivers $525 290%

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