CMS Price Transparency Data

Group therapy session

Facility: Larkin Community Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$80
about 0.8× the $104 Medicare rate · typically $41–$148
modeled estimate · not a bill or quote
What this hospital charges insurers
$176
Well above the fair price
about $96 over the fair price · 1.7× Medicare
Medicare pays $104 Fair price $80 This hospital $176 Cash price $753 Hospital's list price $1,076

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 $176

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 $80 (about 0.8× the $104 Medicare rate). Larkin Community Hospital charges insurers about $176, or about $753 in cash — well above the fair price. Located in South Miami, 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 $80. 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 $93 - $495 90%
Blue Cross Blue Shieldmajor $88 85%
Aetnamajor $111 - $1,721 107%
Cignamajor $108 - $430 104%
Humanamajor $150 - $1,721 145%
Ambetter (Centene) $153 147%
AvMed $430 - $1,721 414%
Bright Health $516 - $2,065 497%
Molina $153 147%
Oscar Health $860 - $3,442 829%
+ 29 smaller / regional plans $93 - $1,721
Government programs also on file: Medicare, Medicaid.
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.

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Facility Profile & Credentials

  • Address: 7031 Sw 62Nd Ave, South Miami, FL 33143
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals