CMS Price Transparency Data

Family therapy session

Facility: HCA Florida Memorial Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $277
Cash Discount Price: $1,158
vs. Medicare Baseline: 1.53x Medicare

The contracted insurance negotiated median rate for a Family therapy session at HCA Florida Memorial Hospital is $277. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,158. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.53x the Medicare baseline. Located in 3625 University Blvd S, Jacksonville, FL.

Cash / Self-Pay

$1,158

Average discount available for prompt cash payment at this facility.

Insurance Median

$277

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: $1,158 (639%)

Insurance Median: $277 (153%)

Cash: $1,158 (639% of Medicare)

Ins. Median: $277 (153% 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
Optimum Healthcare	$97	53%
City Of Jacksonville	$112 - $225	62%
Corvel Corporation	$112 - $225	62%
Prime Health	$114 - $229	63%
Avmed	$139 - $324	77%
Simply Healthcare	$147 - $178	81%
United	$148	82%
Oscar	$185	102%
Aetna	$199 - $347	110%
Positive Healthcare	$255	141%
Cigna	$277 - $328	153%
Molina Healthcare	$313	173%
Centurion	$321	177%
Humana	$336	185%
Corizon	$347	191%
Plotkin Health	$579	319%
Multiplan	$903 - $984	498%
Evolutions Healthcare	$926 - $984	511%
Ppo Next	$984	543%
Novanet	$1,042	575%

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 $1,158.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90847.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90847.
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.