CMS Price Transparency Data

Group therapy session

Facility: Huntington Hospital

Billing Code: 90853 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90853
Insurance Median: $119
Cash Discount Price: $299
vs. Medicare Baseline: 1.15x Medicare

The contracted insurance negotiated median rate for a Group therapy session at Huntington Hospital is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $299. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 1.15x the Medicare baseline. Located in 100 W California Blvd, Pasadena, CA.

Cash / Self-Pay

$299

Average discount available for prompt cash payment at this facility.

Insurance Median

$119

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$103.79

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $103.79 (100%)

Cash / Self-Pay: $299 (288%)

Insurance Median: $119 (115%)

Cash: $299 (288% of Medicare)

Ins. Median: $119 (115% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $103.79 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$41	40%
Avanti Hospitals, Llc	$115	111%
California Physiciansæ Service, Dba Blue Shield Of California	$115	111%
Dignity Health	$115	111%
Heritage Provider Network	$115	111%
Humana	$115	111%
Inter Valley Health Plan	$115	111%
Pacific Pace, Llc And Pasadena Hospital Association, Ltd	$115	111%
Prospect Health Plan, Inc.	$115	111%
Universal Care, Inc. D/B/A Brand New Day	$115 - $173	111%
Health Net Of California, Inc.	$119 - $672	115%
L.A. Care Health Plan	$150	145%
Providence St. Joseph Health Network	$230	222%
Kaiser Foundation Hospitals On Behalf Of Its Southern California Region	$346	333%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $299.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90853.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Huntington Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90853.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.