CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: HCA Florida Orange Park Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $594
Cash Discount Price: $2,334
vs. Medicare Baseline: 3.28x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at HCA Florida Orange Park Hospital is $594. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,334. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 3.28x the Medicare baseline. Located in 2001 Kingsley Ave, Orange Park, FL.

Cash / Self-Pay

$2,334

Average discount available for prompt cash payment at this facility.

Insurance Median

$594

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: $2,334 (1287%)

Insurance Median: $594 (328%)

Cash: $2,334 (1287% of Medicare)

Ins. Median: $594 (328% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 328% of the Medicare baseline (a markup of 228%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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 - $225	49%
Prime Health	$91 - $229	50%
Optimum Healthcare	$196	108%
Avmed	$280 - $653	154%
United	$280	154%
Simply Healthcare	$296 - $359	163%
Oscar	$373	206%
Aetna	$401 - $700	221%
Positive Healthcare	$513	283%
Cigna	$558 - $660	308%
Molina Healthcare	$630	347%
Humana	$957	528%
Medicare (plans)	$1,050	579%
Plotkin Health	$1,167	644%
Multiplan	$1,820 - $1,984	1004%
Evolutions Healthcare	$1,867 - $1,984	1030%
Ppo Next	$1,984	1094%
Novanet	$2,100	1158%

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 $2,334.
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 Orange Park 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.