CMS Price Transparency Data

Group therapy session

Facility: Sarasota Memorial Hospital - Venice

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$82
about 0.8× the $104 Medicare rate · typically $45–$139
modeled estimate · not a bill or quote
What this hospital charges insurers
$163
Well above the fair price
about $81 over the fair price · 1.6× Medicare
Medicare pays $104 Fair price $82 This hospital $163 Cash price $96 Hospital's list price $239

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 $163

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 $82 (about 0.8× the $104 Medicare rate). Sarasota Memorial Hospital - Venice charges insurers about $163, or about $96 in cash — well above the fair price. Located in North Venice, 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 $82. 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.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $96 - $179 92%
Blue Cross Blue Shieldmajor $93 90%
Aetnamajor $96 - $244 92%
Ambetter (Centene) $251 242%
AmeriHealth $168 162%
AvMed $174 168%
Molina $165 159%
Simply Healthcare $153 - $160 147%
WellCare $98 94%
+ 6 smaller / regional plans $98 - $244
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.

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Facility Profile & Credentials

  • Address: 2600 Laurel Road East, North Venice, FL 34275
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals