Group therapy session
Facility: Shands Jacksonville
Billing Code: 90853 (CPT)
- CPT Billing Code: 90853
- Insurance Median: $117
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.13x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $103.79 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $101 - $178 | 97% |
| Positive Healthcare Partners | $102 - $117 | 98% |
| Ameri-Plus Preferred Care | $106 | 102% |
| Blue Cross Blue Shield | $106 | 102% |
| Capital Health Plan | $106 | 102% |
| Humana | $106 - $168 | 102% |
| Beacon Health Strategies | $109 | 105% |
| Careplus Health Plan | $109 | 105% |
| Florida Health Care Plan | $109 - $167 | 105% |
| UnitedHealthcare | $110 | 106% |
| Devoted Health Plan | $111 - $117 | 107% |
| Molina | $121 - $183 | 117% |
| Wellcare Of Florida | $124 | 119% |
| Florida Complete Care | $133 | 128% |
| Wellpath | $153 | 147% |
| Ambetter / Centene | $154 | 148% |
| Carelon Health | $168 | 162% |
| Florida Community Care | $176 | 170% |
| Amerihealth Caritas Florida | $183 | 176% |
| Community Care Plan | $183 | 176% |
| Simply Healthcare | $194 | 187% |