CMS Price Transparency Data

Group therapy session

Facility: HCA Florida University Hospital

Billing Code: 90853 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90853
Insurance Median: $72
Cash Discount Price: $340
vs. Medicare Baseline: 0.69x Medicare

The contracted insurance negotiated median rate for a Group therapy session at HCA Florida University Hospital is $72. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $340. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 0.69x the Medicare baseline. Located in 3476 S University Dr., Davie, FL.

Cash / Self-Pay

$340

Average discount available for prompt cash payment at this facility.

Insurance Median

$72

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: $340 (328%)

Insurance Median: $72 (69%)

Cash: $340 (328% of Medicare)

Ins. Median: $72 (69% 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
Freedom Health	$29	28%
Careworks (Rockport)	$31 - $252	30%
Prime Health	$31 - $252	30%
Avmed	$44 - $170	42%
Simply Healthcare Plans	$44	42%
Simply Healthcare	$46	44%
Aetna	$49 - $102	47%
Oscar	$54	52%
Amerihealth Caritas	$58	56%
Molina	$65	63%
Cigna	$71	68%
Humana	$71 - $116	68%
Health Sun Health Plan	$72	69%
United Ppo	$81	78%
United	$153	147%

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 $340.
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 University 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.