CMS Price Transparency Data

Group therapy session

Facility: Valley Presbyterian Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$138
about 1.3× the $104 Medicare rate · typically $85–$211
modeled estimate · not a bill or quote
What this hospital charges insurers
$118
Below the fair price — a good deal
about $20 under the fair price · 1.1× Medicare
Medicare pays $104 Fair price $138 This hospital $118

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

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

Cheapest $20 Priciest $118

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

A fair price for a Group therapy session is about $138 (about 1.3× the $104 Medicare rate). Valley Presbyterian Hospital charges insurers about $118 — below the fair price — a good deal. Located in Van Nuys, CA.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 $28 - $118 27%
Aetnamajor $118 114%
Ambetter (Centene) $166 160%
Health Net $118 - $232 114%
+ 2 smaller / regional plans $118 - $182
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 15107 Vanowen St, Van Nuys, CA 91405
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals