CMS Price Transparency Data
Group therapy session
Facility: Valley Children's Hospital
Billing Code: 90853 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$74
about 0.7× the $104 Medicare rate · typically $19–$146
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $74 Hospital's list price $274
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✓ Kaiser Permanente CignaHumana
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 | $6 - $195 | 6% |
| Blue Cross Blue Shieldmajor | $7 - $156 | 7% |
| Aetnamajor | $184 | 177% |
| Kaiser Permanentemajor | $4 - $178 | 4% |
| Health Net | $96 - $179 | 92% |
| + 25 smaller / regional plans | $4 - $233 |
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
Insurance Before you use insurance
Other Procedures at Valley Children's Hospital
Compare: Group therapy session at other CA hospitals
- Mountains Community Hospital · Lake Arrowhead $20
- Plumas District Hospital · Quincy $24
- Hazel Hawkins Memorial Hospital · Hollister $24
- Orchard Hospital · Gridley $25
- Adventist Health Reedley · Reedley $26
- Glenn Medical Center · Willows $27
- Adventist Health Lodi Memorial · Lodi $29
- Clovis Community Medical Center · Clovis $31
Insurance negotiated median for the same procedure, sorted lowest first.