CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: St Lucie Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $192
  • Cash Discount Price: $753
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at St Lucie Medical Center is $192. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $753. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.06x the Medicare baseline. Located in 1800 Se Tiffany Ave, Port Saint Lucie, FL.
Cash / Self-Pay
$753

Average discount available for prompt cash payment at this facility.

Insurance Median
$192

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: $753 (415%)
Insurance Median: $192 (106%)
Cash: $753 (415% of Medicare)
Ins. Median: $192 (106% 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 $65 - $120 36%
Optimum $65 36%
Corvel Corporation $91 - $234 50%
Careworks (Rockport) $93 - $239 51%
Prime Health $93 - $239 51%
Avmed $98 - $376 54%
Simply Healthcare Plans $98 54%
Blue Cross Blue Shield $122 - $181 67%
Aetna $131 - $226 72%
Molina $143 - $203 79%
Oscar $143 79%
Health Sun Health Plan $160 88%
Simply Healthcare $177 98%
Sunshine State Health Plan $192 106%
Cigna $198 - $264 109%
Humana $279 - $301 154%
United Ppo $331 183%
United $339 187%
Plotkin Health $376 207%
Prime Health Sherriff $376 207%
Multiplan $565 - $640 312%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals