CMS Price Transparency Data

Family therapy session

Facility: UF Health Shands Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $288
  • Cash Discount Price: $360
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a Family therapy session at UF Health Shands Hospital is $288. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $360. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.59x the Medicare baseline. Located in 1600 Sw Archer Rd, Gainesville, FL.
Cash / Self-Pay
$360

Average discount available for prompt cash payment at this facility.

Insurance Median
$288

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: $360 (199%)
Insurance Median: $288 (159%)
Cash: $360 (199% of Medicare)
Ins. Median: $288 (159% 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
Beacon Health Strategies $113 62%
Humana $113 - $187 62%
Sunshine State Health Plan $113 62%
UnitedHealthcare $113 - $193 62%
Aetna $114 - $545 63%
Florida Community Care $118 65%
Amerihealth Caritas Florida $124 68%
Community Care Plan $124 68%
Molina $124 68%
Simply Healthcare $136 75%
Blue Cross Blue Shield $161 - $414 89%
Vha $161 89%
Positive Healthcare Partners $177 98%
Uaa $179 - $252 99%
Capital Health Plan $185 - $331 102%
North Central Hospice $185 102%
Wellcare $185 102%
Careplus $191 105%
Carelon Health $197 109%
Ghilcrest County $202 111%
Levy County $202 111%
Ahf Mco Of Fl $204 112%
Devoted Health Plan $204 112%
Freedom Health- Inc./Optimum Healthcare- Inc. $204 112%
Northeast Fl Hospital $207 - $291 114%
Wellpath $258 - $425 142%
Avmed $265 - $420 146%
Ambetter / Centene $268 148%
Florida Health Care Plan $290 160%
Health First $330 - $463 182%
Prime Health Services $330 - $463 182%
Cigna $351 - $494 194%
Archbold Medical Center $353 - $496 195%
Genex $353 - $496 195%
Corvel Corp $400 - $563 221%
Geha $424 - $596 234%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 Sw Archer Rd, Gainesville, FL 32610
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals