CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $139
  • Cash Discount Price: $189
  • vs. Medicare Baseline: 0.77x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Baptist Health Medical Center - Jacksonville is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $189. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.77x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
$189

Average discount available for prompt cash payment at this facility.

Insurance Median
$139

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: $189 (104%)
Insurance Median: $139 (77%)
Cash: $189 (104% of Medicare)
Ins. Median: $139 (77% 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 $42 23%
Blue Cross Blue Shield $56 - $181 31%
Aetna $64 - $222 35%
UnitedHealthcare $67 - $163 37%
Amerigroup Of Georgia $87 48%
Caresource Of Georgia $87 - $181 48%
Daniel Memorial $87 48%
Humana $87 - $95 48%
Peach State Health Plan $87 - $181 48%
Avmed $89 - $145 49%
Simply Healthcare Plans $91 - $104 50%
Simply Healthcare Plans - Cha $91 50%
Corvel $92 - $272 51%
Coventry Workers Comp $92 - $272 51%
Amerihealth Caritas $95 52%
Florida Community Care $95 - $169 52%
Sunshine State Health Plan $95 - $380 52%
United Community Plan $95 52%
Vivida Health $95 52%
Molina Healthcare Of Florida $103 57%
Cigna $108 - $725 60%
Borland Groover $111 61%
Occunet $111 - $139 61%
Northeast Florida State Hospital $117 - $131 65%
Centivo $122 - $978 67%
Capital Health Plan $128 71%
Innovative Healthware Services $131 72%
Geo Group $139 77%
Volusia Health Network $153 84%
Watchtower $153 84%
Community Hospice Of Northeast Florida $161 89%
Pace $161 89%
Tomorrow'S Rainbow $161 89%
Va Ccn $161 89%
Fscj Student Insurance $167 92%
Devoted $170 - $171 94%
Suddath Company $175 97%
Upmc $177 98%
Medicaid / KanCare $181 100%
Uf Health Proton Therapy Institute $195 108%
Phcs $208 - $222 115%
Evolutions Healthcare $250 138%
Multiplan $250 138%
United Behavioral Health $371 - $571 205%
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