CMS Price Transparency Data

Group therapy session

Facility: North Shore Medical Center

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$89
about 0.9× the $104 Medicare rate · typically $47–$123
modeled estimate · not a bill or quote
What this hospital charges insurers
$90
About the fair price
about $1 over the fair price · 0.9× Medicare
Medicare pays $104 Fair price $89 This hospital $90 Cash price $288 Hospital's list price $288

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 $90

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Group therapy session is about $89 (about 0.9× the $104 Medicare rate). North Shore Medical Center charges insurers about $90, or about $288 in cash — about the fair price. Located in Miami, FL.

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 - $288 87%
Aetnamajor $9 - $288 9%
Cignamajor $50 - $144 48%
Humanamajor $86 - $115 83%
Ambetter (Centene) $168 162%
AmeriHealth $196 189%
AvMed $61 - $186 59%
Bright Health $109 105%
Devoted Health $90 87%
Molina $173 167%
Oscar Health $18 17%
+ 22 smaller / regional plans $30 - $288
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1100 Nw 95Th St, Miami, FL 33150
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals