CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: HCA Florida North Florida Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $250
Cash Discount Price: $1,101
vs. Medicare Baseline: 1.38x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at HCA Florida North Florida Hospital is $250. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,101. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.38x the Medicare baseline. Located in 6500 W Newberry Rd, Gainesville, FL.

Cash / Self-Pay

$1,101

Average discount available for prompt cash payment at this facility.

Insurance Median

$250

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: $1,101 (607%)

Insurance Median: $250 (138%)

Cash: $1,101 (607% of Medicare)

Ins. Median: $250 (138% 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
Corvel Corporation	$89 - $237	49%
Prime Health	$91 - $242	50%
Careworks (Rockport Community)	$94 - $250	52%
Blue Cross Blue Shield	$117 - $278	65%
Avmed	$132 - $551	73%
Oscar	$132	73%
Simply Healthcare	$140	77%
Aetna	$161 - $330	89%
United	$165 - $496	91%
Simply	$170	94%
Cigna	$192 - $458	106%
Molina Healthcare	$209 - $352	115%
Humana	$220	121%
Evolutions	$253	140%
Sunshine State Health Plan	$281	155%
Plotkin Health	$551	304%
Prime Health Sheriff	$551	304%
Corizon Phs	$661	365%
Multiplan	$859 - $936	474%
Evernorth	$881	486%
Evolutions Healthcare	$936	516%
Ppo Next	$936	516%
Novanet	$991	546%
Beacon Health Options	$1,101	607%

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 $1,101.
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 North Florida 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.