CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Baptist Medical Center - Nassau

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $215
  • Cash Discount Price: $361
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Baptist Medical Center - Nassau is $215. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $361. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.19x the Medicare baseline. Located in 1250 S 18Th St, Fernandina Beach, FL.
Cash / Self-Pay
$361

Average discount available for prompt cash payment at this facility.

Insurance Median
$215

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: $361 (199%)
Insurance Median: $215 (119%)
Cash: $361 (199% of Medicare)
Ins. Median: $215 (119% 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
Amerigroup Of Georgia $87 48%
Daniel Memorial $87 48%
Humana $87 48%
Nassaua County Sheriff'S Office $87 48%
Simply Healthcare Plans $91 - $104 50%
Simply Healthcare Plans - Cha $91 50%
Amerihealth Caritas $95 52%
Florida Community Care $95 - $169 52%
Sunshine State Health Plan $95 52%
United Community Plan $95 52%
Vivida Health $95 52%
Molina Healthcare Of Florida $103 57%
Aetna $104 - $466 57%
Corvel $138 76%
Coventry Workers Comp $138 76%
Community Hospice Of Northeast Florida $161 89%
Pace $161 89%
Tomorrow'S Rainbow $161 89%
Va Ccn $161 89%
UnitedHealthcare $163 - $268 90%
Blue Cross Blue Shield $169 - $378 93%
Devoted $171 94%
Upmc $177 98%
Avmed $186 - $436 103%
Borland Groover $233 128%
Occunet $233 128%
Northeast Florida State Hospital $244 135%
Centivo $256 - $978 141%
Capital Health Plan $268 148%
Geo Group $291 160%
Watchtower $320 176%
Fscj Student Insurance $349 192%
Savannah Grand Of Amelia Island $349 192%
Cigna $361 - $445 199%
Suddath Company $367 202%
Medicaid / KanCare $378 208%
Peach State Health Plan $378 208%
Ambetter / Centene $387 213%
Phcs $436 240%
Evolutions Healthcare $524 289%
Multiplan $524 289%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1250 S 18Th St, Fernandina Beach, FL 32034
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals