CMS Price Transparency Data

Group therapy session

Facility: Broward Health North

Billing Code: 90853 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90853
Insurance Median: $123
Cash Discount Price: $208
vs. Medicare Baseline: 1.19x Medicare

The contracted insurance negotiated median rate for a Group therapy session at Broward Health North is $123. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $208. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 1.19x the Medicare baseline. Located in 201 E Sample Rd, Deerfield Beach, FL.

Cash / Self-Pay

$208

Average discount available for prompt cash payment at this facility.

Insurance Median

$123

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$103.79

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $103.79 (100%)

Cash / Self-Pay: $208 (200%)

Insurance Median: $123 (119%)

Cash: $208 (200% of Medicare)

Ins. Median: $123 (119% of 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

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	$14 - $167	13%
Community Care Plan	$34	33%
Freedom Health	$52	50%
Healthsun Health Plan	$52	50%
Simply Healthcare	$52	50%
Wellpath	$73	70%
Cigna	$94	91%
Devoted	$94 - $99	91%
Avmed	$96 - $104	92%
Careplus Health Plan	$97	93%
Florida Pace Center	$97	93%
Humana	$97	93%
Medica Healthcare	$97	93%
Preferred Care Partners	$97	93%
United Aarp	$97	93%
United/Wellmed	$97	93%
Clear Springs Healthcare	$100	96%
Doctor'S Healthcare	$100	96%
Amerihealth Caritas	$102	98%
Wellcare	$104	100%
Sunshine State Health Plan Healthy Kids	$115	111%
Curative Administrators, Llc	$125	120%
Wellcare Healthy Kids	$125	120%
Tour + Med Assistance International	$135	130%
Gmmi/Canadian Medical Network	$146	141%
Quality Health Management	$146	141%
Trident Global Assistance International	$146	141%
United International	$146	141%
Us Maritime Consultants	$146	141%
Dimension Health/International Plus	$167	161%
Medcare International	$167	161%
Seguro Reservas International	$167	161%
Star Healthcare Network	$167	161%
Viking Cruises	$167	161%
World Medical Management Solutions	$167	161%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $208.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90853.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Broward Health North is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90853.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.