CMS Price Transparency Data

Group therapy session

Facility: HCA Florida Brandon Hospital

Billing Code: 90853 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90853
  • Insurance Median: $110
  • Cash Discount Price: $500
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Group therapy session at HCA Florida Brandon Hospital is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $500. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 1.06x the Medicare baseline. Located in 119 Oakfield Dr, Brandon, FL.
Cash / Self-Pay
$500

Average discount available for prompt cash payment at this facility.

Insurance Median
$110

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: $500 (482%)
Insurance Median: $110 (106%)
Cash: $500 (482% of Medicare)
Ins. Median: $110 (106% 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.

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 23%
Corvel Corporation $30 - $228 29%
Rockport Healthcare Group $30 - $228 29%
Prime Health $31 - $233 30%
Access 2 Healthcare Physicians Freedom Health $36 35%
Access 2 Healthcare Physicians Optimum $36 35%
Freedom Health Care $39 38%
Optimum Healthcare $39 38%
Avmed $40 - $125 39%
Simply Healthcare $64 - $77 62%
Oscar $75 72%
Aetna $80 - $150 77%
United $82 - $225 79%
Cigna $90 87%
Molina $95 - $135 92%
Humana $140 135%
Plotkin Health $250 241%
Prime Health Sheriff $250 241%
Evolutions Healthcare Systems $300 - $460 289%
Multiplan $375 - $425 361%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 119 Oakfield Dr, Brandon, FL 33511
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals