CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: HCA Florida Aventura Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $138
  • Cash Discount Price: $644
  • vs. Medicare Baseline: 0.76x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at HCA Florida Aventura Hospital is $138. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $644. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.76x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.
Cash / Self-Pay
$644

Average discount available for prompt cash payment at this facility.

Insurance Median
$138

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: $644 (355%)
Insurance Median: $138 (76%)
Cash: $644 (355% of Medicare)
Ins. Median: $138 (76% 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
Freedom Health $46 - $121 25%
Optimum $46 - $65 25%
Blue Cross Blue Shield $55 - $174 30%
Avmed $64 - $378 35%
Simply Healthcare Plans $69 - $98 38%
Aetna $71 - $227 39%
Simply Healthcare $72 - $102 40%
Oscar $85 - $121 47%
Amerihealth Caritas $90 - $129 50%
Molina $90 - $204 50%
Corvel Corporation $94 - $245 52%
Careworks (Rockport) $96 - $250 53%
Prime Health $96 - $250 53%
Cigna $112 - $159 62%
Humana $112 - $257 62%
Health Sun Health Plan $113 - $161 62%
Aids Healthcare $117 - $908 65%
Mmm Of Fl (Health Advantage Plan) $122 - $174 67%
United Ppo $126 - $179 69%
Sunshine State Health Plan $138 - $197 76%
United $239 - $341 132%
Plotkin Health $266 - $378 147%
Prime Health Sherriff $266 - $378 147%
Medica Healthcare $308 - $439 170%
Multiplan $398 - $643 219%
Evernorth Bh $425 - $606 234%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 20900 Biscayne Blvd, Aventura, FL 33180
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals