CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Lower Keys Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $207
  • Cash Discount Price: $145
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Lower Keys Medical Center is $207. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $145. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.14x the Medicare baseline. Located in 5900 College Road, Key West, FL.
Cash / Self-Pay
$145

Average discount available for prompt cash payment at this facility.

Insurance Median
$207

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: $145 (80%)
Insurance Median: $207 (114%)
Cash: $145 (80% of Medicare)
Ins. Median: $207 (114% 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
UnitedHealthcare $62 - $230 34%
Veterans Eval Services $104 57%
Self Pay $126 - $163 69%
Florida Childrens Medical Services $132 73%
Medicaid / KanCare $132 - $145 73%
South Florida Community Care Network $132 73%
Humana $136 - $195 75%
Amerigroup $145 80%
Positive Healthcare $145 80%
Simply Healthcare $145 80%
Wellcare $145 80%
Wellcare Healthease $145 80%
Molina $149 82%
Prestige Health Choice $153 84%
Magellan $158 87%
Blue Cross Blue Shield $163 - $466 90%
Tricare $189 104%
Medicare (plans) $195 108%
Ultimate Health $195 108%
Node Champva $199 110%
Node Non Par Hospice Agree $199 110%
Node United Behavioral Va Ccn $199 110%
Node Va $199 110%
Prime Health Work Comp Fl $216 119%
Correct Care Solutions $218 120%
Fl Work Comp $223 123%
Heritage Summit Work Comp Fl $223 123%
Node Us Dept Of Labor $248 137%
Cigna $275 152%
Aetna $325 179%
Monroe County $350 193%
Evolutions Healthcare Systems $373 - $443 206%
Keys Energy $373 206%
Prime Health Ppo $373 206%
Avmed Health Plan $396 218%
State Auto Insurance Fl $397 219%
Direct Healthcare $466 257%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5900 College Road, Key West, FL 33040
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals