CMS Price Transparency Data

Group therapy session

Facility: Denver Health & Hospital Authority

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$125

about 1.2× the $104 Medicare rate · typically $38–$183

modeled estimate · not a bill or quote

What this hospital charges insurers

$107

Below the fair price — a good deal

about $18 under the fair price · 1.0× Medicare

Medicare pays $104 Fair price $125 This hospital $107 Cash price $194 Hospital's list price $553

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

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

Cheapest $24 Priciest $107

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

A fair price for a Group therapy session is about $125 (about 1.2× the $104 Medicare rate). Denver Health & Hospital Authority charges insurers about $107, or about $194 in cash — below the fair price — a good deal. Located in Denver, CO.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$412	397%
Blue Cross Blue Shieldmajor	$412	397%
Aetnamajor	$107	103%
+ 3 smaller / regional plans	$107 - $190

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 194), 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 Denver Health & Hospital Authority 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 Denver Health & Hospital Authority

Compare: Group therapy session at other CO hospitals

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