CMS Price Transparency Data

Group therapy session

Facility: HCA Florida Citrus Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$152
about 1.5× the $104 Medicare rate · typically $41–$310
modeled estimate · not a bill or quote
What this hospital charges insurers
$212
Above the fair price
about $60 over the fair price · 2.0× Medicare
Medicare pays $104 Fair price $152 This hospital $212 Cash price $551 Hospital's list price $551

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 $27 Priciest $212

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

A fair price for a Group therapy session is about $152 (about 1.5× the $104 Medicare rate). HCA Florida Citrus Hospital charges insurers about $212, or about $551 in cash — above the fair price. Located in Inverness, FL.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $152. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 $90 - $248 87%
Aetnamajor $72 - $165 69%
Cignamajor $96 92%
Humanamajor $154 148%
AvMed $44 - $138 42%
Molina $105 - $149 101%
Oscar Health $83 80%
Simply Healthcare $70 67%
+ 6 smaller / regional plans $26 - $276
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

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Facility Profile & Credentials

  • Address: 502 W Highland Blvd, Inverness, FL 34452
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals