CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $230
  • Cash Discount Price: $615
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at HCA Florida Fort Walton-Destin Hospital is $230. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $615. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.27x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.
Cash / Self-Pay
$615

Average discount available for prompt cash payment at this facility.

Insurance Median
$230

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: $615 (339%)
Insurance Median: $230 (127%)
Cash: $615 (339% of Medicare)
Ins. Median: $230 (127% 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 $68 - $159 37%
Oscar $80 44%
Simply $95 52%
Simply Healthcare $103 57%
Cigna $107 - $255 59%
Molina Healthcare $117 - $197 65%
United $127 - $277 70%
Corvel Corporation $134 - $227 74%
Prime Health $137 - $232 76%
Careworks (Rockport Community) $141 - $239 78%
Avmed $148 - $308 82%
Sunshine State Health Plan $157 87%
Aetna $180 - $250 99%
Humana $234 129%
Plotkin Health $308 170%
Prime Health Sheriff $308 170%
Evolutions Healthcare $400 - $554 221%
Naphcare $400 221%
Multiplan $480 - $523 265%
Evernorth $492 271%
Ppo Next $523 288%
Novanet $554 306%
Beacon Health Options $615 339%

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