CMS Price Transparency Data

Family therapy session

Facility: HCA Florida Kendall Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $100
Cash Discount Price: $384
vs. Medicare Baseline: 0.55x Medicare

The contracted insurance negotiated median rate for a Family therapy session at HCA Florida Kendall Hospital is $100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $384. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.55x the Medicare baseline. Located in 11750 Bird Rd, Miami, FL.

Cash / Self-Pay

$384

Average discount available for prompt cash payment at this facility.

Insurance Median

$100

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: $384 (212%)

Insurance Median: $100 (55%)

Cash: $384 (212% of Medicare)

Ins. Median: $100 (55% 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
Freedom Health	$33 - $61	18%
Optimum	$33	18%
Avmed	$46 - $192	25%
Simply Healthcare Plans	$50	28%
Aetna	$51 - $115	28%
Simply Healthcare	$52	29%
Oscar	$61	34%
Amerihealth Caritas	$65	36%
Molina	$73 - $104	40%
Cigna	$81	45%
Humana	$81 - $131	45%
Health Sun Health Plan	$82	45%
Aids Healthcare	$84 - $461	46%
Mmm Of Fl (Health Advantage Plan)	$88	49%
United Ppo	$91	50%
Corvel Corporation	$118 - $245	65%
Careworks (Rockport)	$120 - $250	66%
Prime Health	$120 - $250	66%
United	$173	95%
Plotkin Health	$192	106%
Prime Health Sherriff	$192	106%
Medica Healthcare	$223	123%
Multiplan	$288 - $326	159%
Evernorth Bh	$307	169%

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 $384.
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 Kendall 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.