CMS Price Transparency Data

Group therapy session

Facility: Banner Del E. Webb Medical Center

Billing Code: 90853 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90853
  • Insurance Median: $108
  • Cash Discount Price: $135
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Group therapy session at Banner Del E. Webb Medical Center is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $135. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 1.04x the Medicare baseline. Located in 14502 West Meeker Boulevard, Sun City West, AZ.
Cash / Self-Pay
$135

Average discount available for prompt cash payment at this facility.

Insurance Median
$108

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: $135 (130%)
Insurance Median: $108 (104%)
Cash: $135 (130% of Medicare)
Ins. Median: $108 (104% 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.

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
Arizona Physicians Ipa $54 - $99 52%
Banner University Health Plan $54 - $99 52%
Health Choice Arizona, Inc. $54 - $148 52%
Health Net $54 - $146 52%
Mercy Care $54 - $99 52%
Hospice Of The Valley $62 - $132 60%
Blue Cross Blue Shield $69 - $181 66%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $80 - $170 77%
Plotkin Health $80 - $170 77%
Aetna $93 - $447 90%
Quiktrip Corporation $96 - $204 92%
Banner Health $99 95%
Care 1St $99 95%
Cigna $99 - $259 95%
Gila River Health Care Corporation $99 95%
Kaiser Foundation Health Plan $99 95%
Triwest Healthcare Alliance Corp - Va Ccn $99 95%
UnitedHealthcare $99 - $138 95%
Upmc Health Plan $99 95%
Wellpoint $99 95%
Humana $102 - $507 98%
Carelon $104 100%
Devoted Health Services $104 100%
Arizona Priority Care $108 104%
Gold Kidney Health Plan $108 104%
Provider Network Of America $133 - $283 128%
Arizona Medical Network $142 - $302 137%
Oscar Health Plan $163 157%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14502 West Meeker Boulevard, Sun City West, AZ 85375
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals