CMS Price Transparency Data

Group therapy session

Facility: Sharp Coronado Hospital and Hlthcr Ctr

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$126

about 1.2× the $104 Medicare rate · typically $41–$134

modeled estimate · not a bill or quote

Medicare pays $104 Fair price $126 Cash price $343 Hospital's list price $457

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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	$64 - $367	62%
Blue Cross Blue Shieldmajor	$69 - $450	66%
Aetnamajor	$64 - $364	62%
Cignamajor	$64 - $450	62%
Humanamajor	$155 - $410	149%
Kaiser Permanentemajor	$127 - $287	122%
Health Net	$64 - $410	62%
Molina	$68 - $364	66%
+ 7 smaller / regional plans	$29 - $413

Government programs also on file: Medicare, Medicaid.

Excludes 2 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 343), 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 Sharp Coronado Hospital and Hlthcr Ctr 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 Sharp Coronado Hospital and Hlthcr Ctr

Compare: Group therapy session at other CA hospitals

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