CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Sarasota Memorial Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $115
Cash Discount Price: $108
vs. Medicare Baseline: 0.63x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Sarasota Memorial Hospital is $115. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $108. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.63x the Medicare baseline. Located in 1700 S Tamiami Trl, Sarasota, FL.

Cash / Self-Pay

$108

Average discount available for prompt cash payment at this facility.

Insurance Median

$115

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: $108 (60%)

Insurance Median: $115 (63%)

Cash: $108 (60% of Medicare)

Ins. Median: $115 (63% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Simply Healthcare Oncology	$75 - $86	41%
Sunshine State Oncology	$75 - $86	41%
Molina Oncology	$77 - $89	42%
Amerihealth Caritas Oncology	$79 - $90	44%
Community Care Plan Oncology	$79 - $90	44%
Simply Healthcare	$87 - $91	48%
Blue Cross Blue Shield	$89 - $174	49%
Sunshine State	$91	50%
Molina	$93	51%
Amerihealth Caritas	$95	52%
Community Care Plan	$95	52%
Florida Community Care	$95 - $177	52%
Florida Community Care Oncology	$95 - $121	52%
UnitedHealthcare	$95 - $203	52%
Aetna	$96 - $244	53%
Simply Freedom Optimum Oncology	$96 - $108	53%
Wellcare Oncology	$96 - $109	53%
Oscar Oncology	$165	91%
Simply Freedom Optimum	$169	93%
Wellcare	$169	93%
Avmed	$197	109%
Usa Managed Care	$216	119%
First Health	$224	124%
Ambetter / Centene	$240 - $435	132%
Careworks	$244	135%
Enlyte	$244	135%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $108.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90834.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sarasota Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90834.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.