CMS Price Transparency Data

Family therapy session

Facility: HCA Florida Lawnwood Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $243
  • Cash Discount Price: $988
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Family therapy session at HCA Florida Lawnwood Hospital is $243. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $988. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.34x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
$988

Average discount available for prompt cash payment at this facility.

Insurance Median
$243

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: $988 (545%)
Insurance Median: $243 (134%)
Cash: $988 (545% of Medicare)
Ins. Median: $243 (134% 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
Freedom Health $85 - $158 47%
Optimum $85 47%
Corvel Corporation $115 - $234 63%
Careworks (Rockport) $117 - $239 65%
Prime Health $117 - $239 65%
Avmed $128 - $494 71%
Simply Healthcare Plans $128 71%
Blue Cross Blue Shield $160 - $238 88%
Aetna $172 - $296 95%
Molina $188 - $267 104%
Oscar $188 104%
Health Sun Health Plan $210 116%
Simply Healthcare $232 128%
Pinnacol Workers Comp $245 135%
Sunshine State Health Plan $252 139%
Multiplan $256 - $840 141%
Cigna $260 - $347 143%
Office Of Sheiff Highland Co $346 191%
Humana $366 - $395 202%
United Ppo $435 240%
United $445 245%
Plotkin Health $494 272%
Prime Health Sherriff $494 272%
Evernorth Bh $790 436%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 S 23Rd St, Fort Pierce, FL 34950
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals