CMS Price Transparency Data
Group therapy session
Facility: Winter Haven Hospital
Billing Code: 90853 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$90
about 0.9× the $104 Medicare rate · typically $67–$106
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $90 Cash price $35 Hospital's list price $59
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 | $31 - $99 | 30% |
| Blue Cross Blue Shieldmajor | $19 - $93 | 18% |
| Aetnamajor | $27 - $107 | 26% |
| Cignamajor | $31 - $107 | 30% |
| Humanamajor | $90 - $116 | 87% |
| Ambetter (Centene) | $59 - $237 | 57% |
| AvMed | $18 - $29 | 17% |
| Molina | $11 - $91 | 11% |
| Simply Healthcare | $11 - $91 | 11% |
| WellCare | $130 | 125% |
| + 12 smaller / regional plans | $18 - $107 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Winter Haven Hospital
Compare: Group therapy session at other FL hospitals
- Centerstone of Florida · Bradenton $27
- Aspire Health Partners · Orlando $27
- Circles of Care, Inc · Melbourne $28
- H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. · Tampa $30
- Cleveland Clinic Martin North Hospital · Stuart $31
- Sarasota Memorial Hospital · Sarasota $32
- Palm Beach Gardens Medical Center · Palm Beach Gardens $32
- Cleveland Clinic Hospital · Weston $32
Insurance negotiated median for the same procedure, sorted lowest first.