Aspire Health Partners
1800 Mercy Dr, Orlando, FL 32808 · 16 Priced Procedures
Typical commercial prices here are 20% below the fair benchmark (0.80×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Aspire Health Partners prices routine shoppable procedures near 0.9× Medicare (p50 0.94×) while skewing captive emergency, lab, and upper-quartile codes to 2.6× Medicare (p75 1.07×, +14% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 20% below peer Fair BaseRate (0.80×)
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (65.1% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
- Captive ER (1.3×) & laboratory (1.2×) services average 2.89× higher multiples than routine shoppable care (0.9×)
- Specialty infusion drugs (J-codes) average 7.2× Medicare — verify per-unit billing on itemized statements
- Consolidated metro market (HHI 2,354) limits in-network hospital competition (Moderately Concentrated (1,500–2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Aspire Health Partners
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 16 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Psychiatric evaluation (first visit) CPT Code: 90791 | $178 | 1.0× |
| Breathing treatment (nebulizer) CPT Code: 94640 | — | — |
| Psychotherapy session (45 minutes) CPT Code: 90834 | — | — |
| Psychotherapy session (60 minutes) CPT Code: 90837 | — | — |
| Family therapy session CPT Code: 90847 | — | — |
| New patient office visit (30-44 min) CPT Code: 99203 | $139 | 1.3× |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $136 | 1.1× |
| Mental health services (therapy) HCPCS Code: H0032 | $97 | 1.5× |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $93 | 1.1× |
| Behavioral health assessment HCPCS Code: H0001 | $113 | 0.7× |
| Mental health services (assessment) HCPCS Code: H0031 | $74 | 0.5× |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | — | unverified |
| Behavioral health outpatient services HCPCS Code: H2015 | $15 | 0.9× |
| Electrocardiogram (ECG/EKG) CPT Code: 93000 | $14 | 0.6× |
| Behavioral health living support HCPCS Code: H2019 | $16 | 0.5× |
| Group therapy session CPT Code: 90853 | $27 | 0.3× |
Audit a Bill or Quote at Aspire Health Partners (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $312
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (65.1% of gross = $312).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Aspire Health Partners's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $185 Fair BaseRate ($181 Medicare)
Your bill ($480) is $295 above the denoised Fair BaseRate ($185) and 2.7× the $181 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (65.1% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Aspire Health Partners.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.