CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Larkin Community Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $161
  • Cash Discount Price: $229
  • vs. Medicare Baseline: 0.89x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Larkin Community Hospital is $161. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $229. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.89x the Medicare baseline. Located in 7031 Sw 62Nd Ave, South Miami, FL.
Cash / Self-Pay
$229

Average discount available for prompt cash payment at this facility.

Insurance Median
$161

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: $229 (126%)
Insurance Median: $161 (89%)
Cash: $229 (126% of Medicare)
Ins. Median: $161 (89% 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
Medicaid / KanCare $61 - $104 34%
Medicare (plans) $66 - $578 36%
Jipa Network-All Plans $68 37%
Corvel Mcaid Workers Comp $78 43%
Sunshine Behavioral $78 43%
Aetna $87 - $550 48%
Ambetter / Centene $87 48%
Community Care Phks Mcaid-All Other Plans $87 48%
Florida Comm Care Mcaid $87 48%
Humana $87 - $550 48%
Magellan Complete Care $87 48%
Molina Exch Marketplace-All Other Plans $87 48%
UnitedHealthcare $87 - $218 48%
Fci-All Plans $94 - $185 52%
Global Excel-All Plans $94 - $330 52%
Clear Springs Hlth-All Plans $98 - $169 54%
Avmed-All Plans $104 - $550 57%
Bright Health-All Other Plans $104 - $660 57%
Coventry Comml-All Plans $104 - $550 57%
Fdc-All Plans $108 60%
Cigna $138 - $250 76%
Blue Cross Blue Shield $153 84%
Florida Comm Care Mcare-All Other Plans $161 89%
Ops Maritime-All Plans $161 89%
Opus Hospice Ip Only-All Plans $161 89%
Preferred Care Partners Mcare-All Plans $161 89%
Healthsun-All Plans $165 91%
Unicare Simply Mcare Ppo-All Plans $169 93%
Wellpath-All Plans $177 98%
Community Care Plan Beh Mcaid $200 110%
Allianz (Azga)-All Plans $210 116%
Star Network-All Plans $220 121%
Managed Care Concepts Behavioral-All Plans $225 124%
Magellan Behav Comml-All Other Plans $250 138%
Jmh Health Plan Hmo/Ppo-All Other Plans $302 167%
Haa Preferred Partners-All Plans $330 182%
Corvel Mcare Workers Comp-All Plans $495 273%
Careplus Health-All Other Plans $550 303%
Centurion-All Plans $550 303%
Doctors Healthcare-All Plans $550 303%
First Med Hp Of Fl-All Plans $550 303%
Florida Health Solution/Hmo-All Plans $550 303%
Oscar Health-All Plans $1,100 607%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7031 Sw 62Nd Ave, South Miami, FL 33143
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals