CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: UF Health Shands Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $239
  • Cash Discount Price: $304
  • vs. Medicare Baseline: 1.32x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at UF Health Shands Hospital is $239. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $304. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.32x the Medicare baseline. Located in 1600 Sw Archer Rd, Gainesville, FL.
Cash / Self-Pay
$304

Average discount available for prompt cash payment at this facility.

Insurance Median
$239

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: $304 (168%)
Insurance Median: $239 (132%)
Cash: $304 (168% of Medicare)
Ins. Median: $239 (132% 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%
Positive Healthcare Partners $177 98%
Uaa $180 - $242 99%
Capital Health Plan $185 - $318 102%
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 $208 - $279 115%
Wellpath $258 - $425 142%
Avmed $265 - $403 146%
Ambetter / Centene $268 148%
Florida Health Care Plan $290 160%
Health First $330 - $444 182%
Prime Health Services $330 - $444 182%
Cigna $352 - $473 194%
Archbold Medical Center $354 - $476 195%
Genex $354 - $476 195%
Corvel Corp $401 - $540 221%
Geha $425 - $572 234%

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