CMS Price Transparency Data
Group therapy session
Facility: Larkin Community Hospital
Billing Code: 90853 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90853
- Insurance Median: $200
- Cash Discount Price: $753
- vs. Medicare Baseline: 1.93x Medicare
The contracted insurance negotiated median rate for a Group therapy session at Larkin Community Hospital is $200. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $753. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 1.93x the Medicare baseline. Located in 7031 Sw 62Nd Ave, South Miami, FL.
Cash / Self-Pay
$753
Average discount available for prompt cash payment at this facility.
Insurance Median
$200
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: $753 (726%)
Insurance Median: $200 (193%)
Cash: $753 (726% of Medicare)
Ins. Median: $200 (193% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $88 | 85% |
| Florida Comm Care Mcare-All Other Plans | $93 | 90% |
| Medicare (plans) | $93 - $1,807 | 90% |
| Ops Maritime-All Plans | $93 | 90% |
| Opus Hospice Ip Only-All Plans | $93 | 90% |
| Preferred Care Partners Mcare-All Plans | $93 | 90% |
| UnitedHealthcare | $93 - $153 | 90% |
| Clear Springs Hlth-All Plans | $97 | 93% |
| Unicare Simply Mcare Ppo-All Plans | $97 | 93% |
| Cenpatico Behavioral Health-All Plans | $102 - $235 | 98% |
| Wellpath-All Plans | $102 | 98% |
| Fci-All Plans | $107 | 103% |
| Medicaid / KanCare | $107 - $160 | 103% |
| Cigna | $108 - $430 | 104% |
| Aetna | $111 - $1,721 | 107% |
| Sunshine Behavioral | $120 - $138 | 116% |
| Allianz (Azga)-All Plans | $121 | 117% |
| Healthsun-All Plans | $129 - $516 | 124% |
| Corvel Mcaid Workers Comp | $138 | 133% |
| Beacon Health Strategies | $150 - $250 | 145% |
| Carisk Concordia Behavioral-All Plans | $150 - $200 | 145% |
| Community Care Plan Beh Mcaid | $150 - $200 | 145% |
| Community Care Plan Mma Mcaid | $150 - $200 | 145% |
| Humana | $150 - $1,721 | 145% |
| Magellan Behav Comml-All Other Plans | $150 - $250 | 145% |
| Managed Care Concepts Behavioral-All Plans | $150 - $225 | 145% |
| New Directions Behavioral-All Plans | $150 - $250 | 145% |
| Ambetter / Centene | $153 | 147% |
| Community Care Phks Mcaid-All Other Plans | $153 | 147% |
| Florida Comm Care Mcaid | $153 | 147% |
| Magellan Complete Care | $153 | 147% |
| Molina Exch Marketplace-All Other Plans | $153 | 147% |
| Star Network-All Plans | $172 - $688 | 166% |
| Beacon Health Options Comm-All Other Plans | $175 | 169% |
| United Behavioral Health Adult Mcaid | $200 - $300 | 193% |
| United Behavioral Health Adolescent Mcaid | $220 - $320 | 212% |
| Jmh Health Plan Hmo/Ppo-All Other Plans | $236 - $947 | 227% |
| Global Excel-All Plans | $258 - $1,033 | 249% |
| Haa Preferred Partners-All Plans | $258 - $1,033 | 249% |
| United Behavioral Health Adult-All Other Plans | $350 - $450 | 337% |
| United Behavioral Health Adolescent | $385 - $495 | 371% |
| Corvel Mcare Workers Comp-All Plans | $387 - $1,549 | 373% |
| Avmed-All Plans | $430 - $1,721 | 414% |
| Careplus Health-All Other Plans | $430 - $1,721 | 414% |
| Centurion-All Plans | $430 - $1,721 | 414% |
| Coventry Comml-All Plans | $430 - $1,721 | 414% |
| Doctors Healthcare-All Plans | $430 - $1,721 | 414% |
| First Med Hp Of Fl-All Plans | $430 - $1,721 | 414% |
| Florida Health Solution/Hmo-All Plans | $430 - $1,721 | 414% |
| Bright Health-All Other Plans | $516 - $2,065 | 497% |
| Oscar Health-All Plans | $860 - $3,442 | 829% |