CMS Price Transparency Data

Group therapy session

Facility: Peak View Behavioral Health

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$56

about 0.5× the $104 Medicare rate · typically $48–$198

modeled estimate · not a bill or quote

What this hospital charges insurers

$200

Well above the fair price

about $144 over the fair price · 1.9× Medicare

Medicare pays $104 Fair price $56 This hospital $200 Hospital's list price $708

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 $200

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 $56 (about 0.5× the $104 Medicare rate). Peak View Behavioral Health charges insurers about $200 — well above the fair price. Located in Colorado Springs, CO.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $56. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$57 - $232	55%
Blue Cross Blue Shieldmajor	$44 - $546	42%
Aetnamajor	$200 - $302	193%
Cignamajor	$200 - $270	193%
Humanamajor	$47 - $315	45%
Kaiser Permanentemajor	$45 - $268	43%
Amerigroup	$67 - $180	65%
Baylor Scott & White	$165	159%
Bright Health	$424	409%
Dean Health Plan	$250 - $293	241%
Devoted Health	$73 - $219	70%
Friday Health	$321	309%
GEHA	$130 - $200	125%
Health Net	$302 - $449	291%
HealthPartners	$32 - $400	31%
Medica	$165	159%
Molina	$350	337%
SelectHealth	$85 - $300	82%
Tufts Health Plan	$257	248%
UPMC Health Plan	$261	251%
+ 78 smaller / regional plans	$23 - $600

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 3 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, 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 Peak View Behavioral Health 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 Peak View Behavioral Health

Psychotherapy session (60 minutes)

Compare: Group therapy session at other CO hospitals

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