Circles of Care, Inc
400 E Sheridan Rd, Melbourne, FL 32901 · 2 Priced Procedures
Typical commercial prices here are 66% below the fair benchmark (0.34×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Uniform Value Leader · Low-Cost Across Departments
Circles of Care, Inc maintains low, disciplined commercial pricing across both routine shoppable procedures (0.5× Medicare, p50 0.28× Fair BaseRate) and emergency/ancillary services (0.4× Medicare, p75 0.28× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 66% below peer Fair BaseRate (0.34×)
- 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 (35.3% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.34× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Commercial insurance median sits at 0.28× Fair BaseRate (0.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
- Consolidated metro market (HHI 2,711) limits in-network hospital competition (Highly Concentrated Monopoly (>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 Circles of Care, Inc
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 2 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Psychotherapy session (60 minutes) CPT Code: 90837 | — | — |
| Group therapy session CPT Code: 90853 | $28 | 0.3× |
Audit a Bill or Quote at Circles of Care, Inc (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $60
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (35.3% of gross = $60).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Circles of Care, Inc'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 $181 Fair BaseRate ($181 Medicare)
Your entered amount is at or below the modeled Fair BaseRate benchmark ($181).
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (35.3% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Circles of Care, Inc. Prior administrative notices do not necessarily reflect current compliance status.
- 2026-01-02·administrative_or_closure
Closure Notice
Recorded - 2025-09-18·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
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 Circles of Care, Inc.
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.