CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Winter Haven Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $177
  • Cash Discount Price: $133
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Winter Haven Hospital is $177. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $133. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.98x the Medicare baseline. Located in 200 Ave F Ne, Winter Haven, FL.
Cash / Self-Pay
$133

Average discount available for prompt cash payment at this facility.

Insurance Median
$177

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: $133 (73%)
Insurance Median: $177 (98%)
Cash: $133 (73% of Medicare)
Ins. Median: $177 (98% 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
Molina $40 - $131 22%
Simply Healthcare $40 - $3,000 22%
Ultimate Health Plan $66 36%
Avmed $69 - $108 38%
Blue Cross Blue Shield $71 - $161 39%
Aetna $102 - $3,057 56%
Florida Hospital $102 56%
Evolutions $110 - $206 61%
Cigna $116 - $192 64%
UnitedHealthcare $118 - $2,914 65%
Baycareplus $161 89%
Careplus $164 90%
Humana $168 - $2,971 93%
Freedom $176 97%
Optimum $176 97%
Multiplan $177 98%
Solis Health $177 98%
Health First $185 102%
First Health $188 104%
Ambetter / Centene $221 - $411 122%
United Behavioral Health $221 122%
Wellcare $226 125%
Clear Health Alliance $2,886 1591%
Freedom Health $3,000 1654%
Molina Healthcare $3,000 1654%
Sunshine Health $3,000 1654%
Florida Community Care $3,143 1733%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Ave F Ne, Winter Haven, FL 33881
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals