CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $177
  • Cash Discount Price: $396
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Baptist Health Medical Center - Jacksonville is $177. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $396. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.98x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
$396

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: $396 (218%)
Insurance Median: $177 (98%)
Cash: $396 (218% 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
Amerigroup Of Georgia $87 48%
Caresource Of Georgia $87 - $378 48%
Daniel Memorial $87 48%
Humana $87 - $95 48%
Non-Contracted $87 48%
Peach State Health Plan $87 - $378 48%
Simply Healthcare Plans $91 - $104 50%
Simply Healthcare Plans - Cha $91 50%
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%
Aetna $104 - $466 57%
Blue Cross Blue Shield $116 - $378 64%
Corvel $138 - $570 76%
Coventry Workers Comp $138 - $570 76%
UnitedHealthcare $140 - $305 77%
Community Hospice Of Northeast Florida $161 89%
Pace $161 89%
Tomorrow'S Rainbow $161 89%
Va Ccn $161 89%
Devoted $170 - $171 94%
Upmc $177 98%
Avmed $186 - $303 103%
Cigna $227 - $725 125%
Borland Groover $233 128%
Occunet $233 - $291 128%
Northeast Florida State Hospital $244 - $274 135%
Centivo $256 - $978 141%
Capital Health Plan $268 148%
Innovative Healthware Services $274 151%
Geo Group $291 160%
Volusia Health Network $320 176%
Watchtower $320 176%
Fscj Student Insurance $349 192%
Suddath Company $367 202%
United Behavioral Health $371 - $571 205%
Medicaid / KanCare $378 208%
Ambetter / Centene $386 - $387 213%
Uf Health Proton Therapy Institute $407 224%
Phcs $436 - $466 240%
Evolutions Healthcare $524 289%
Multiplan $524 289%
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