CMS Price Transparency Data

Group therapy session

Facility: HCA Florida South Tampa Hospital

Billing Code: 90853 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90853
Insurance Median: $181
Cash Discount Price: $675
vs. Medicare Baseline: 1.74x Medicare

The contracted insurance negotiated median rate for a Group therapy session at HCA Florida South Tampa Hospital is $181. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $675. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 1.74x the Medicare baseline. Located in 2901 W Swann Ave, Tampa, FL.

Cash / Self-Pay

$675

Average discount available for prompt cash payment at this facility.

Insurance Median

$181

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: $675 (650%)

Insurance Median: $181 (174%)

Cash: $675 (650% of Medicare)

Ins. Median: $181 (174% 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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$24 - $108	23%
Corvel Corporation	$30 - $228	29%
Rockport Healthcare Group	$30 - $228	29%
Prime Health	$31 - $233	30%
Access 2 Healthcare Physicians Freedom Health	$37 - $166	36%
Access 2 Healthcare Physicians Optimum	$37 - $166	36%
Freedom Health Care	$40 - $179	39%
Optimum Healthcare	$40 - $179	39%
Avmed	$41 - $575	40%
Simply Healthcare	$64 - $354	62%
Oscar	$76 - $345	73%
Aetna	$81 - $690	78%
United	$83 - $1,035	80%
Cigna	$91 - $414	88%
Molina	$96 - $621	92%
Sunshine State Health Plan	$129	124%
Humana	$142 - $644	137%
Beacon Health Options	$254	245%
Evolutions Healthcare Systems	$254 - $2,115	245%
Plotkin Health	$254 - $1,150	245%
Prime Health Sheriff	$254 - $1,150	245%
Multiplan	$380 - $1,954	366%
Evernorth	$406	391%

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 $675.
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 HCA Florida South Tampa Hospital 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.