CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $203
  • Cash Discount Price: $533
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at HCA Florida Fort Walton-Destin Hospital is $203. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $533. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.12x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.
Cash / Self-Pay
$533

Average discount available for prompt cash payment at this facility.

Insurance Median
$203

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: $533 (294%)
Insurance Median: $203 (112%)
Cash: $533 (294% of Medicare)
Ins. Median: $203 (112% 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
Blue Cross Blue Shield $59 - $138 33%
Oscar $69 38%
Simply $82 45%
Corvel Corporation $89 - $227 49%
Simply Healthcare $89 49%
Prime Health $91 - $232 50%
Cigna $93 - $221 51%
Careworks (Rockport Community) $94 - $239 52%
Molina Healthcare $101 - $171 56%
United $110 - $240 61%
Avmed $128 - $267 71%
Sunshine State Health Plan $136 75%
Aetna $156 - $217 86%
Humana $203 112%
Plotkin Health $267 147%
Prime Health Sheriff $267 147%
Evolutions Healthcare $347 - $480 191%
Naphcare $347 191%
Multiplan $416 - $453 229%
Evernorth $427 235%
Ppo Next $453 250%
Novanet $480 265%
Beacon Health Options $533 294%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Mar-Walt Dr, Fort Walton Beach, FL 32547
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals