CMS Price Transparency Data

Family therapy session

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $165
  • Cash Discount Price: $281
  • vs. Medicare Baseline: 0.91x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Baptist Health Medical Center - Jacksonville is $165. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $281. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.91x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
$281

Average discount available for prompt cash payment at this facility.

Insurance Median
$165

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: $281 (155%)
Insurance Median: $165 (91%)
Cash: $281 (155% of Medicare)
Ins. Median: $165 (91% 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
Non-Contracted $62 - $110 34%
Blue Cross Blue Shield $83 - $268 46%
Aetna $95 - $330 52%
UnitedHealthcare $99 - $216 55%
Amerigroup Of Georgia $103 57%
Caresource Of Georgia $103 - $268 57%
Daniel Memorial $103 57%
Humana $103 - $113 57%
Peach State Health Plan $103 - $268 57%
Corvel $108 - $116 60%
Coventry Workers Comp $108 - $116 60%
Simply Healthcare Plans $108 - $124 60%
Simply Healthcare Plans - Cha $108 60%
Amerihealth Caritas $113 62%
Florida Community Care $113 - $169 62%
Sunshine State Health Plan $113 - $380 62%
United Community Plan $113 62%
Vivida Health $113 62%
Molina Healthcare Of Florida $123 68%
Avmed $132 - $215 73%
Cigna $161 - $725 89%
Community Hospice Of Northeast Florida $161 89%
Pace $161 89%
Tomorrow'S Rainbow $161 89%
Va Ccn $161 89%
Borland Groover $165 91%
Occunet $165 - $206 91%
Devoted $170 - $171 94%
Northeast Florida State Hospital $173 - $194 95%
Upmc $177 98%
Capital Health Plan $190 105%
Innovative Healthware Services $194 107%
Geo Group $206 114%
United Behavioral Health $222 - $571 122%
Volusia Health Network $227 125%
Watchtower $227 125%
Fscj Student Insurance $248 137%
Suddath Company $260 143%
Medicaid / KanCare $268 148%
Uf Health Proton Therapy Institute $289 159%
Phcs $310 - $330 171%
Centivo $351 - $978 194%
Evolutions Healthcare $372 205%
Multiplan $372 205%
Ambetter / Centene $386 - $387 213%
Nemours Research $983 542%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Prudential Dr, Jacksonville, FL 32207
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals