CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: HCA Florida Lawnwood Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $346
  • Cash Discount Price: $1,439
  • vs. Medicare Baseline: 1.91x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at HCA Florida Lawnwood Hospital is $346. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,439. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.91x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
$1,439

Average discount available for prompt cash payment at this facility.

Insurance Median
$346

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: $1,439 (794%)
Insurance Median: $346 (191%)
Cash: $1,439 (794% of Medicare)
Ins. Median: $346 (191% 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
Corvel Corporation $91 - $234 50%
Careworks (Rockport) $93 - $239 51%
Prime Health $93 - $239 51%
Freedom Health $124 - $230 68%
Optimum $124 68%
Avmed $187 - $720 103%
Simply Healthcare Plans $187 103%
Blue Cross Blue Shield $233 - $347 128%
Pinnacol Workers Comp $245 135%
Aetna $250 - $432 138%
Multiplan $256 - $1,223 141%
Molina $273 - $389 151%
Oscar $273 151%
Health Sun Health Plan $307 169%
Simply Healthcare $338 186%
Sunshine State Health Plan $367 202%
Cigna $378 - $505 208%
Office Of Sheiff Highland Co $504 278%
Humana $532 - $576 293%
United Ppo $633 349%
United $648 357%
Plotkin Health $720 397%
Prime Health Sherriff $720 397%
Evernorth Bh $1,151 635%

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