CMS Price Transparency Data

Group therapy session

Facility: Lower Keys Medical Center

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$55
about 0.5× the $104 Medicare rate · typically $46–$156
modeled estimate · not a bill or quote
What this hospital charges insurers
$223
Well above the fair price
about $168 over the fair price · 2.1× Medicare
Medicare pays $104 Fair price $55 This hospital $223 Cash price $128 Hospital's list price $412

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 $223

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 $55 (about 0.5× the $104 Medicare rate). Lower Keys Medical Center charges insurers about $223, or about $128 in cash — well above the fair price. Located in Key West, 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 $55. 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.

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 $114 - $203 110%
Blue Cross Blue Shieldmajor $112 - $412 108%
Aetnamajor $288 277%
Cignamajor $243 234%
Humanamajor $112 108%
AvMed $350 337%
Molina $80 77%
Simply Healthcare $128 123%
+ 9 smaller / regional plans $112 - $412
Government programs also on file: Medicare, Military & VA.
Excludes 5 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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 5900 College Road, Key West, FL 33040
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals