CMS Price Transparency Data

Group therapy session

Facility: Marinhealth Medical Center

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$207

about 2.0× the $104 Medicare rate · typically $80–$382

modeled estimate · not a bill or quote

Medicare pays $104 Fair price $207 Cash price $1,622 Hospital's list price $2,704

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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana

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	$2,330	2245%
Blue Cross Blue Shieldmajor	$850 - $979	819%
Aetnamajor	$143	138%
Cignamajor	$493	475%
Kaiser Permanentemajor	$143 - $800	138%
Health Net	$143 - $373	138%
+ 8 smaller / regional plans	$143 - $942

Excludes 4 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 1,622), 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 Marinhealth Medical Center 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 Marinhealth Medical Center

Compare: Group therapy session at other CA hospitals

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