CMS Price Transparency Data

Group therapy session

Facility: Palm Bay Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$173
about 1.7× the $104 Medicare rate · typically $67–$303
modeled estimate · not a bill or quote
What this hospital charges insurers
$290
Above the fair price
about $117 over the fair price · 2.8× Medicare
Medicare pays $104 Fair price $173 This hospital $290 Cash price $73 Hospital's list price $290

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 $290

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 $173 (about 1.7× the $104 Medicare rate). Palm Bay Hospital charges insurers about $290, or about $73 in cash — above the fair price. Located in Palm Bay, 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 $173. 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 $86 - $290 83%
Blue Cross Blue Shieldmajor $283 - $303 273%
Aetnamajor $276 - $319 266%
Cignamajor $112 - $119 108%
Humanamajor $290 279%
Amerigroup $290 279%
Molina $290 - $325 279%
+ 5 smaller / regional plans $92 - $304
Excludes 2 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: 1425 Malabar Rd, Ne, Palm Bay, FL 32907
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals