CMS Price Transparency Data

Family therapy session

Facility: Baptist Medical Center Beaches

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $163
  • Cash Discount Price: $256
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Baptist Medical Center Beaches is $163. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $256. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.90x the Medicare baseline. Located in 1350 13Th Ave S, Jacksonville Beach, FL.
Cash / Self-Pay
$256

Average discount available for prompt cash payment at this facility.

Insurance Median
$163

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: $256 (141%)
Insurance Median: $163 (90%)
Cash: $256 (141% of Medicare)
Ins. Median: $163 (90% 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
Blue Cross Blue Shield $83 - $268 46%
Aetna $95 - $330 52%
UnitedHealthcare $99 - $216 55%
Amerigroup Of Georgia $103 57%
Daniel Memorial $103 57%
Simply Healthcare Plans $108 - $124 60%
Simply Healthcare Plans - Cha $108 60%
Amerihealth Caritas $113 62%
Florida Community Care $113 - $169 62%
Sunshine State Health Plan $113 62%
United Community Plan $113 62%
Vivida Health $113 62%
Corvel $116 64%
Coventry Workers Comp $116 64%
Molina Healthcare Of Florida $123 68%
Avmed $132 - $211 73%
Community Hospice Of Northeast Florida $161 89%
Pace $161 89%
Tomorrow'S Rainbow $161 89%
Va Ccn $161 89%
Borland Groover $165 91%
Occunet $165 91%
Devoted $171 94%
Cigna $173 - $252 95%
Northeast Florida State Hospital $173 95%
Upmc $177 98%
Capital Health Plan $190 105%
Geo Group $206 114%
Watchtower $227 125%
Fscj Student Insurance $248 137%
Suddath Company $260 143%
Caresource Of Georgia $268 148%
Medicaid / KanCare $268 148%
Peach State Health Plan $268 148%
Phcs $310 171%
Centivo $351 - $978 194%
Evolutions Healthcare $372 205%
Multiplan $372 205%
Ambetter / Centene $387 213%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1350 13Th Ave S, Jacksonville Beach, FL 32250
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals