CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: HCA Florida Orange Park Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $212
  • Cash Discount Price: $836
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at HCA Florida Orange Park Hospital is $212. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $836. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.17x the Medicare baseline. Located in 2001 Kingsley Ave, Orange Park, FL.
Cash / Self-Pay
$836

Average discount available for prompt cash payment at this facility.

Insurance Median
$212

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: $836 (461%)
Insurance Median: $212 (117%)
Cash: $836 (461% of Medicare)
Ins. Median: $212 (117% 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
Optimum Healthcare $66 - $75 36%
Blue Cross Blue Shield $83 - $189 46%
Avmed $94 - $249 52%
United $94 - $107 52%
Simply Healthcare $100 - $137 55%
Oscar $126 - $142 69%
Corvel Corporation $134 - $225 74%
Aetna $135 - $267 74%
Prime Health $137 - $229 76%
Positive Healthcare $173 - $195 95%
Cigna $187 - $251 103%
Sunshine State Health Plan $200 110%
Molina Healthcare $212 - $240 117%
Humana $322 - $364 178%
Medicare (plans) $353 - $400 195%
Plotkin Health $392 - $444 216%
Multiplan $612 - $755 337%
Evernorth $628 346%
Evolutions Healthcare $628 - $755 346%
Ppo Next $667 - $755 368%
Novanet $706 - $800 389%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2001 Kingsley Ave, Orange Park, FL 32073
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals