CMS Price Transparency Data
Group therapy session
Facility: Phoenix Children's Hospital
Billing Code: 90853 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$94
about 0.9× the $104 Medicare rate · typically $15–$167
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $94 Hospital's list price $202
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✓ Aetna✓ Cigna HumanaKaiser 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 | $88 - $96 | 85% |
| Blue Cross Blue Shieldmajor | $202 | 195% |
| Aetnamajor | $93 - $148 | 90% |
| Cignamajor | $84 - $162 | 81% |
| + 13 smaller / regional plans | $4 - $131 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Phoenix Children's Hospital
Compare: Group therapy session at other AZ hospitals
- Yuma Regional Medical Center · Yuma $29
- Valleywise Health Medical Center · Phoenix $34
- PAM Health Rehabilitation Hospital of Surprise · Surprise $50
- Banner Thunderbird Medical Center · Glendale $99
- Banner Del E. Webb Medical Center · Sun City West $99
- Banner Behavioral Health Hospital · Scottsdale $99
- Tucson Medical Center · Tucson $106
- Honor Health John C. Lincoln Medical Center · Phoenix $109
Insurance negotiated median for the same procedure, sorted lowest first.