CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: HCA Florida Mercy Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $228
  • Cash Discount Price: $1,009
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at HCA Florida Mercy Hospital is $228. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,009. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.26x the Medicare baseline. Located in 401 Nw 42Nd Ave, Plantation, FL.
Cash / Self-Pay
$1,009

Average discount available for prompt cash payment at this facility.

Insurance Median
$228

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: $1,009 (556%)
Insurance Median: $228 (126%)
Cash: $1,009 (556% of Medicare)
Ins. Median: $228 (126% 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 $87 - $161 48%
Optimum $87 48%
Corvel Corporation $94 - $245 52%
Careworks (Rockport) $96 - $250 53%
Prime Health $96 - $250 53%
Blue Cross Blue Shield $101 - $228 56%
Avmed $121 - $504 67%
Simply Healthcare Plans $131 72%
Aetna $146 - $303 81%
Oscar $161 89%
Amerihealth Caritas $172 95%
Molina $192 - $272 106%
Cigna $212 117%
Humana $212 - $343 117%
Health Sun Health Plan $215 119%
Aids Healthcare $222 - $1,211 122%
Mmm Of Fl (Health Advantage Plan) $232 128%
United Ppo $239 132%
Sunshine State Health Plan $262 144%
United $454 250%
Plotkin Health $504 278%
Prime Health Sherriff $504 278%
Medica Healthcare $595 328%
Multiplan $757 - $858 417%
Evernorth Bh $807 445%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 Nw 42Nd Ave, Plantation, FL 33317
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals