CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Memorial Hospital Miramar

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $829
  • Cash Discount Price: $893
  • vs. Medicare Baseline: 4.57x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Memorial Hospital Miramar is $829. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $893. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 4.57x the Medicare baseline. Located in 1901 Sw 172Nd Ave, Miramar, FL.
Cash / Self-Pay
$893

Average discount available for prompt cash payment at this facility.

Insurance Median
$829

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: $893 (492%)
Insurance Median: $829 (457%)
Cash: $893 (492% of Medicare)
Ins. Median: $829 (457% 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 457% of the Medicare baseline (a markup of 357%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Sunshine $180 - $536 99%
Humana $185 102%
Aetna $188 - $291 104%
Avmed $189 - $393 104%
Wellcare $196 - $202 108%
Florida Community Care $198 109%
Amerihealth Caritas $204 112%
Carelon $205 113%
Solis Health Plan $209 115%
Health Sun $211 - $957 116%
Florida Pace Centers $213 117%
Community Care Plan $217 120%
Cigna $219 - $595 121%
UnitedHealthcare $222 122%
Align Senior Care $226 125%
Molina $230 127%
Longevity $232 128%
Evernorth $326 - $1,021 180%
Employers Health Network $408 225%
Magellan Healthcare $427 235%
Broward County $718 - $2,726 396%
Emerging Therapy Solutions $766 422%
Allianz $829 457%
Axis $829 457%
Desjardins Financial Security Life Assurance Company $829 457%
Global Health Claims $829 - $1,085 457%
Global Medical Management $829 457%
Global Reach Health $829 457%
National Healthcare Solutions $829 457%
Plotkin $829 457%
Quality Health Management $829 457%
Quebec Inc $829 457%
Star Healthcare Network $829 457%
World Medical Care $829 457%
Worldwide Managed Care Partners $829 457%
Worldwide Medical Assurance $829 457%
Dimension Health $861 475%
Employers Choice Network $1,021 563%
Gallagher Bassett $1,021 563%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1901 Sw 172Nd Ave, Miramar, FL 33029
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals