CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Sacred Heart Hospital on the Emerald Coast

Billing Code: 90837 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$157

about 0.9× the $181 Medicare rate · typically $157–$263

modeled estimate · not a bill or quote

What this hospital charges insurers

$163

About the fair price

about $6 over the fair price · 0.9× Medicare

Medicare pays $181 Fair price $157 This hospital $163

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $85 Priciest $163

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

A fair price for a Psychotherapy session (60 minutes) is about $157 (about 0.9× the $181 Medicare rate). Sacred Heart Hospital on the Emerald Coast charges insurers about $163 — about the fair price. Located in Miramar Beach, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$163	90%
Aetnamajor	$166	92%
Humanamajor	$166	92%
Ambetter (Centene)	$266	147%
Cigna HealthSpring	$163 - $165	90%
Oscar Health	$258	142%
WellCare	$161	89%
+ 6 smaller / regional plans	$68 - $363

Government programs also on file: Medicare, Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90837.

Insurance Before you use insurance

Call your insurance company to confirm Sacred Heart Hospital on the Emerald Coast is in-network.
Ask your insurer whether prior approval is required for CPT code 90837.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Sacred Heart Hospital on the Emerald Coast

Compare: Psychotherapy session (60 minutes) at other FL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.