CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: UF Health Shands Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $230
  • Cash Discount Price: $298
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at UF Health Shands Hospital is $230. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $298. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.27x the Medicare baseline. Located in 1600 Sw Archer Rd, Gainesville, FL.
Cash / Self-Pay
$298

Average discount available for prompt cash payment at this facility.

Insurance Median
$230

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: $298 (164%)
Insurance Median: $230 (127%)
Cash: $298 (164% of Medicare)
Ins. Median: $230 (127% 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 $95 52%
Humana $95 - $187 52%
Sunshine State Health Plan $95 52%
UnitedHealthcare $95 - $193 52%
Aetna $100 - $523 55%
Florida Community Care $100 55%
Amerihealth Caritas Florida $104 57%
Community Care Plan $104 57%
Molina $104 57%
Simply Healthcare $124 68%
Blue Cross Blue Shield $161 - $397 89%
Vha $161 89%
Uaa $171 - $242 94%
Positive Healthcare Partners $177 98%
Capital Health Plan $185 - $318 102%
North Central Hospice $185 102%
Wellcare $185 102%
Careplus $191 105%
Carelon Health $197 109%
Northeast Fl Hospital $197 - $279 109%
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%
Avmed $252 - $403 139%
Wellpath $258 - $425 142%
Ambetter / Centene $268 148%
Florida Health Care Plan $290 160%
Health First $314 - $444 173%
Prime Health Services $314 - $444 173%
Cigna $334 - $473 184%
Archbold Medical Center $336 - $476 185%
Genex $336 - $476 185%
Corvel Corp $381 - $540 210%
Geha $403 - $572 222%

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