CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Baptist Medical Center Beaches

Billing Code: 90837 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$162

about 0.9× the $181 Medicare rate · typically $121–$249

modeled estimate · not a bill or quote

What this hospital charges insurers

$104

Below the fair price — a good deal

about $58 under the fair price · 0.6× Medicare

Medicare pays $181 Fair price $162 This hospital $104 Cash price $361 Hospital's list price $582

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

One of the lower prices — 5 of 8 other FL hospitals charge more for the same procedure.

Cheapest $85 Priciest $161

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Psychotherapy session (60 minutes) is about $162 (about 0.9× the $181 Medicare rate). Baptist Medical Center Beaches charges insurers about $104, or about $361 in cash — below the fair price — a good deal. Located in Jacksonville Beach, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$95 - $305	52%
Blue Cross Blue Shieldmajor	$116 - $378	64%
Aetnamajor	$104 - $466	57%
Cignamajor	$244 - $355	135%
Ambetter (Centene)	$387	213%
Amerigroup	$87	48%
AmeriHealth	$95	52%
AvMed	$186 - $297	103%
CareSource	$378	208%
Devoted Health	$171	94%
Molina	$103	57%
Simply Healthcare	$91 - $104	50%
UPMC Health Plan	$177	98%
+ 16 smaller / regional plans	$87 - $978

Government programs also on file: Medicaid, Military & VA.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 361), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90837.

Insurance Before you use insurance

Call your insurance company to confirm Baptist Medical Center Beaches is in-network.
Ask your insurer whether prior approval is required for CPT code 90837.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Baptist Medical Center Beaches

Compare: Psychotherapy session (60 minutes) at other FL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.