CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: HCA Florida Sarasota Doctors Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $118
Cash Discount Price: $521
vs. Medicare Baseline: 0.65x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at HCA Florida Sarasota Doctors Hospital is $118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $521. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.65x the Medicare baseline. Located in 5731 Bee Ridge Rd, Sarasota, FL.

Cash / Self-Pay

$521

Average discount available for prompt cash payment at this facility.

Insurance Median

$118

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: $521 (287%)

Insurance Median: $118 (65%)

Cash: $521 (287% of Medicare)

Ins. Median: $118 (65% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$24	13%
Access 2 Healthcare Physicians Freedom Health	$38	21%
Access 2 Healthcare Physicians Optimum	$38	21%
Freedom Health Care	$41	23%
Optimum Healthcare	$41	23%
Avmed	$42 - $130	23%
Aetna	$77 - $156	42%
Simply Healthcare	$77 - $80	42%
Oscar	$78	43%
United	$85 - $234	47%
Corvel Corporation	$89 - $228	49%
Rockport Healthcare Group	$89 - $228	49%
Cigna	$91	50%
Prime Health	$91 - $233	50%
Molina	$99 - $141	55%
Humana	$146	81%
Behealthy America	$203	112%
Healthcare Sarasota	$260	143%
Plotkin Health	$260	143%
Prime Health Sheriff	$260	143%
Evolutions Healthcare Systems	$287 - $479	158%
Multiplan	$391 - $443	216%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $521.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90834.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Sarasota Doctors Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90834.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.