CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Villages Regional Hospital, The

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $255
Cash Discount Price: $298
vs. Medicare Baseline: 1.41x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Villages Regional Hospital, The is $255. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $298. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.41x the Medicare baseline. Located in 1451 El Camino Real, The Villages, FL.

Cash / Self-Pay

$298

Average discount available for prompt cash payment at this facility.

Insurance Median

$255

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: $298 (164%)

Insurance Median: $255 (141%)

Cash: $298 (164% of Medicare)

Ins. Median: $255 (141% 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.

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
Humana	$87 - $286	48%
Simply Healthcare	$87	48%
Sunshine State	$119	66%
Careplus	$168 - $193	93%
UnitedHealthcare	$168	93%
Wellcare	$169	93%
Ultimate Health	$177	98%
Freedom Health	$195	108%
Aetna	$198 - $425	109%
Blue Cross Blue Shield	$250 - $382	138%
Cigna	$310 - $440	171%
Mulitplan	$372 - $527	205%

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 $298.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90834.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Villages Regional Hospital, The is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90834.
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.