CMS Price Transparency Data

Group therapy session

Facility: Oro Valley Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$101

about 1.0× the $104 Medicare rate · typically $38–$113

modeled estimate · not a bill or quote

What this hospital charges insurers

$112

About the fair price

about $11 over the fair price · 1.1× Medicare

Medicare pays $104 Fair price $101 This hospital $112 Cash price $124 Hospital's list price $376

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

Highest price of the 9 AZ hospitals we have prices for — worth calling around.

Cheapest $29 Priciest $112

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 $101 (about 1.0× the $104 Medicare rate). Oro Valley Hospital charges insurers about $112, or about $124 in cash — about the fair price. Located in Oro Valley, 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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor	$58 - $196	56%
Aetnamajor	$71 - $126	68%
Cignamajor	$107 - $113	103%
Humanamajor	$107 - $325	103%
Ambetter (Centene)	$153	147%
Banner Health	$112	108%
Clover Health	$109	105%
Devoted Health	$110	106%
Health Net	$228	220%
WellCare	$112	108%
+ 12 smaller / regional plans	$56 - $249

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 124), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90853.

Insurance Before you use insurance

Call your insurance company to confirm Oro Valley Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 90853.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Oro Valley Hospital

Compare: Group therapy session at other AZ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.