CMS Price Transparency Data
Group therapy session
Facility: Medical West, An Affiliate of UAB Health System
Billing Code: 90853 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$83
about 0.8× the $104 Medicare rate · typically $56–$87
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $83 Cash price $38 Hospital's list price $50
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 | $43 - $102 | 41% |
| Blue Cross Blue Shieldmajor | $92 | 89% |
| Aetnamajor | $35 - $93 | 34% |
| Cignamajor | $12 - $97 | 12% |
| Humanamajor | $42 - $98 | 40% |
| Ambetter (Centene) | $128 | 123% |
| GEHA | $35 | 34% |
| + 11 smaller / regional plans | $25 - $107 |
Government programs also on file: Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Medical West, An Affiliate of UAB Health System
Compare: Group therapy session at other AL hospitals
- The East Alabama Healthcare Authority · Opelika $27
- USA Health University Hospital · Mobile $30
- USA Health Children's & Women's Hospital · Mobile $30
- Ochsner Choctaw General · Butler $52
- Riverview Regional Medical Center · Gadsden $78
- University of Alabama Hospital · Birmingham $83
- Whitfield Regional Hospital · Demopolis $88
- Hill Hospital of Sumter County · York $88
Insurance negotiated median for the same procedure, sorted lowest first.