CMS Price Transparency Data

Family therapy session

Facility: HCA Florida North Florida Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $192
Cash Discount Price: $762
vs. Medicare Baseline: 1.06x Medicare

The contracted insurance negotiated median rate for a Family therapy session at HCA Florida North Florida Hospital is $192. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $762. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.06x the Medicare baseline. Located in 6500 W Newberry Rd, Gainesville, FL.

Cash / Self-Pay

$762

Average discount available for prompt cash payment at this facility.

Insurance Median

$192

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: $762 (420%)

Insurance Median: $192 (106%)

Cash: $762 (420% of Medicare)

Ins. Median: $192 (106% 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
Blue Cross Blue Shield	$81 - $192	45%
Avmed	$91 - $381	50%
Oscar	$91	50%
Simply Healthcare	$97	53%
Aetna	$111 - $229	61%
Corvel Corporation	$112 - $237	62%
Prime Health	$114 - $242	63%
United	$114 - $343	63%
Simply	$117	65%
Careworks (Rockport Community)	$118 - $250	65%
Cigna	$133 - $317	73%
Molina Healthcare	$145 - $244	80%
Humana	$152	84%
Evolutions	$175	97%
Sunshine State Health Plan	$194	107%
Plotkin Health	$381	210%
Prime Health Sheriff	$381	210%
Corizon Phs	$457	252%
Multiplan	$595 - $648	328%
Evernorth	$610	336%
Evolutions Healthcare	$648	357%
Ppo Next	$648	357%
Novanet	$686	378%
Beacon Health Options	$762	420%

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 $762.
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 North Florida 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.