CMS Price Transparency Data

Group therapy session

Facility: Tucson Medical Center

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$95
about 0.9× the $104 Medicare rate · typically $33–$126
modeled estimate · not a bill or quote
What this hospital charges insurers
$106
About the fair price
about $11 over the fair price · 1.0× Medicare
Medicare pays $104 Fair price $95 This hospital $106

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

On the higher side — 6 of 8 other AZ hospitals charge less.

Cheapest $29 Priciest $109

Black dot = this hospital, among the 9 AZ hospitals with a price for this procedure. Full list below.

A fair price for a Group therapy session is about $95 (about 0.9× the $104 Medicare rate). Tucson Medical Center charges insurers about $106 — about the fair price. Located in Tucson, AZ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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 $54 - $108 52%
Blue Cross Blue Shieldmajor $103 - $159 99%
Cignamajor $90 87%
Humanamajor $108 104%
Banner Health $54 52%
Devoted Health $114 110%
+ 2 smaller / regional plans $54 - $136

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Facility Profile & Credentials

  • Address: 5301 East Grant Road, Tucson, AZ 85712
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals