CMS Price Transparency Data

Group therapy session

Facility: Halifax Health /UF Health Medical Center of Delton

Billing Code: 90853 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90853
  • Insurance Median: $94
  • Cash Discount Price: $121
  • vs. Medicare Baseline: 0.91x Medicare
The contracted insurance negotiated median rate for a Group therapy session at Halifax Health /UF Health Medical Center of Delton is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $121. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 0.91x the Medicare baseline. Located in 3300 Halifax Crossings Blvd, Deltona, FL.
Cash / Self-Pay
$121

Average discount available for prompt cash payment at this facility.

Insurance Median
$94

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: $121 (117%)
Insurance Median: $94 (91%)
Cash: $121 (117% of Medicare)
Ins. Median: $94 (91% 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
Florida Healthcare - Hecn $14 - $94 13%
Blue Cross Blue Shield $16 - $121 15%
Avmed $19 - $138 18%
UnitedHealthcare $19 - $166 18%
County Of Volusia Corrections $20 - $138 19%
A&G Admin $21 - $141 20%
Volusia County Employee $21 - $141 20%
Aetna $24 - $191 23%
Volusia $25 - $193 24%
Coventry $26 - $174 25%
Sim Plan Pay $27 - $179 26%
Hrgi $29 - $193 28%
Plotkin Consulting $29 - $193 28%
Evolutions International $31 - $207 30%
Summit America $33 - $221 32%
Embs $35 - $235 34%
Americas Choice Provider Network $37 - $248 36%
Integrated Health Plan $37 - $248 36%
Multiplan $37 - $248 36%
Three Rivers $39 - $262 38%
Tricare $82 79%
Humana $90 - $184 87%
Cigna $92 89%
Division Of The Blind $92 89%
Freedom Health $92 89%
Medicare (plans) $92 89%
Optimum Healthcare $92 89%
Sunshine State Health Plan $92 - $170 89%
Wellcare $92 89%
Molina $94 - $162 91%
Devoted Health $96 92%
Independent Living Systems $97 - $170 93%
Longevity $97 93%
Prime Health Services $97 93%
Clear Spring Health Of Fl $101 97%
Hcra $162 156%
Medicaid / KanCare $162 156%
West Volusia $162 156%
Simply Healthcare Plans $170 164%
Caresource Network $178 172%
Employers Health Network $185 178%
Fhcp $187 180%
Centivo $199 192%
Florida Healthcare $201 194%
Claimdoc $208 200%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3300 Halifax Crossings Blvd, Deltona, FL 32725
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals