CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: HCA Florida Aventura Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $148
  • Cash Discount Price: $701
  • vs. Medicare Baseline: 0.82x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at HCA Florida Aventura Hospital is $148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $701. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.82x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.
Cash / Self-Pay
$701

Average discount available for prompt cash payment at this facility.

Insurance Median
$148

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: $701 (387%)
Insurance Median: $148 (82%)
Cash: $701 (387% of Medicare)
Ins. Median: $148 (82% 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 - $139 25%
Optimum $46 - $75 25%
Blue Cross Blue Shield $55 - $200 30%
Avmed $64 - $435 35%
Simply Healthcare Plans $69 - $113 38%
Aetna $71 - $261 39%
Simply Healthcare $72 - $117 40%
Oscar $85 - $139 47%
Amerihealth Caritas $90 - $148 50%
Molina $90 - $235 50%
Cigna $112 - $183 62%
Humana $112 - $296 62%
Health Sun Health Plan $113 - $185 62%
Aids Healthcare $117 - $1,044 65%
Mmm Of Fl (Health Advantage Plan) $122 - $200 67%
United Ppo $126 - $206 69%
Sunshine State Health Plan $138 - $226 76%
Corvel Corporation $141 - $245 78%
Careworks (Rockport) $144 - $250 79%
Prime Health $144 - $250 79%
United $239 - $392 132%
Plotkin Health $266 - $435 147%
Prime Health Sherriff $266 - $435 147%
Medica Healthcare $308 - $505 170%
Multiplan $398 - $740 219%
Evernorth Bh $425 - $696 234%

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