CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: HCA Florida Lawnwood Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $421
Cash Discount Price: $1,751
vs. Medicare Baseline: 2.32x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at HCA Florida Lawnwood Hospital is $421. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,751. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 2.32x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.

Cash / Self-Pay

$1,751

Average discount available for prompt cash payment at this facility.

Insurance Median

$421

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: $1,751 (966%)

Insurance Median: $421 (232%)

Cash: $1,751 (966% of Medicare)

Ins. Median: $421 (232% 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 232% of the Medicare baseline (a markup of 132%). 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	$137 - $234	76%
Careworks (Rockport)	$140 - $239	77%
Prime Health	$140 - $239	77%
Freedom Health	$151 - $280	83%
Optimum	$151	83%
Avmed	$228 - $876	126%
Simply Healthcare Plans	$228	126%
Pinnacol Workers Comp	$245	135%
Multiplan	$256 - $1,488	141%
Blue Cross Blue Shield	$284 - $422	157%
Aetna	$305 - $525	168%
Molina	$333 - $473	184%
Oscar	$333	184%
Health Sun Health Plan	$373	206%
Simply Healthcare	$411	227%
Sunshine State Health Plan	$446	246%
Cigna	$461 - $615	254%
Office Of Sheiff Highland Co	$613	338%
Humana	$648 - $700	357%
United Ppo	$770	425%
United	$788	435%
Plotkin Health	$876	483%
Prime Health Sherriff	$876	483%
Evernorth Bh	$1,401	773%

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 $1,751.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90837.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Lawnwood Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90837.
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.