CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Sarasota Memorial Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $161
Cash Discount Price: $136
vs. Medicare Baseline: 0.89x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Sarasota Memorial Hospital is $161. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $136. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.89x the Medicare baseline. Located in 1700 S Tamiami Trl, Sarasota, FL.

Cash / Self-Pay

$136

Average discount available for prompt cash payment at this facility.

Insurance Median

$161

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: $136 (75%)

Insurance Median: $161 (89%)

Cash: $136 (75% of Medicare)

Ins. Median: $161 (89% 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	$87 - $91	48%
Sunshine State	$91	50%
Molina	$93	51%
Amerihealth Caritas	$95	52%
Community Care Plan	$95	52%
Florida Community Care	$95 - $177	52%
Simply Healthcare Oncology	$112 - $128	62%
Sunshine State Oncology	$112 - $128	62%
Molina Oncology	$115 - $132	63%
Amerihealth Caritas Oncology	$117 - $134	65%
Community Care Plan Oncology	$117 - $134	65%
Blue Cross Blue Shield	$131 - $258	72%
Florida Community Care Oncology	$140 - $177	77%
Simply Freedom Optimum Oncology	$140 - $158	77%
UnitedHealthcare	$141 - $255	78%
Wellcare Oncology	$142 - $161	78%
Aetna	$144 - $279	79%
Simply Freedom Optimum	$169	93%
Wellcare	$169	93%
Oscar Oncology	$242	133%
Careworks	$244	135%
Enlyte	$244	135%
Avmed	$247	136%
Usa Managed Care	$271	149%
First Health	$281	155%
Ambetter / Centene	$355 - $435	196%

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 $136.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90837.

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 90837.
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.