CMS Price Transparency Data
Group therapy session
Facility: Peak View Behavioral Health
Billing Code: 90853 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90853
- Insurance Median: $200
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.93x Medicare
The contracted insurance negotiated median rate for a Group therapy session at Peak View Behavioral Health is $200. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 1.93x the Medicare baseline. Located in 7353 Sisters Grv, Colorado Springs, CO.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$200
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%)
Insurance Median: $200 (193%)
Ins. Median: $200 (193% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Colo Community Health Alliance | $23 - $312 | 22% |
| Carelon Northeast Health Partners Mcaid | $32 - $400 | 31% |
| Medicaid / KanCare | $32 - $450 | 31% |
| Northeast Hp- Rmhp | $32 - $450 | 31% |
| Blue Cross Blue Shield | $44 - $546 | 42% |
| Huntsman Mental Health Institute - Bhn | $44 - $232 | 42% |
| Mountain Health Co-Op | $44 - $232 | 42% |
| State Of Co Probation | $44 - $275 | 42% |
| Carelon Behavioral Health | $45 - $268 | 43% |
| Carelon Behavioral Health Strategies | $45 - $268 | 43% |
| Carelon Bh Apwu | $45 - $268 | 43% |
| Carelon Bh Employee Asst | $45 - $268 | 43% |
| Carelon Bh Great West | $45 - $268 | 43% |
| Carelon Bh Kaiser | $45 - $268 | 43% |
| Medicare (plans) | $45 - $424 | 43% |
| Secure Horizons | $45 - $179 | 43% |
| Wyoming Pace | $45 - $179 | 43% |
| Humana | $47 - $315 | 45% |
| Total Long Term Care | $47 - $189 | 45% |
| Total Longterm Care Inc | $47 - $189 | 45% |
| Tricare | $47 - $398 | 45% |
| Champva | $48 - $167 | 46% |
| Rocky Mountain Pace | $54 - $315 | 52% |
| UnitedHealthcare | $57 - $232 | 55% |
| Amerigroup | $67 - $180 | 65% |
| Kaiser Permanente Senior Advantage Hmo | $69 - $255 | 66% |
| Triwest Va Ccn Claims | $69 - $231 | 66% |
| Magellan Devoted Health Plans | $73 - $219 | 70% |
| Clear Springs Health Inc | $77 - $231 | 74% |
| Select Health Insurance | $85 - $300 | 82% |
| Geha-Untied Hlth Integrated Serv | $130 - $165 | 125% |
| Oxford Health - United Behavioral Health | $133 - $165 | 128% |
| Selman And Company | $133 - $140 | 128% |
| United American Insurance Co | $133 - $165 | 128% |
| Mailhandlers | $134 | 129% |
| Pacificare Behavioral Health | $140 | 135% |
| Secure Horizons Direct | $140 | 135% |
| Motivhealth | $157 | 151% |
| Allsavers | $165 | 159% |
| Amfirst | $165 | 159% |
| Baylor Scott & White | $165 | 159% |
| Denver Health Elevate Silver | $165 | 159% |
| Denver Health Med Plan Cofinity | $165 | 159% |
| Enterprise Group Planning, Inc | $165 | 159% |
| Geha | $165 - $200 | 159% |
| Health Alliance | $165 | 159% |
| Liberty Healthshare | $165 | 159% |
| Medica Elect | $165 | 159% |
| United Behavioral Health | $165 | 159% |
| United Behavioral Health Of California | $165 | 159% |
| United Select Health | $165 | 159% |
| United World Life | $165 | 159% |
| Allegiance Benefit Plan | $167 | 161% |
| Allianz Global Assistance | $167 - $208 | 161% |
| American Family Ins | $167 | 161% |
| Care Source | $167 | 161% |
| Deseret Healthcare Employee | $167 | 161% |
| Group Benefits | $167 | 161% |
| Administrative District Council 1 Welfar | $200 | 193% |
| Aetna | $200 - $302 | 193% |
| Ameriben | $200 | 193% |
| American Republic Insurance | $200 | 193% |
| Apwu Health Plan | $200 | 193% |
| Assurant Health | $200 | 193% |
| Barrick Gold Corp | $200 | 193% |
| Behavioral Health Inc | $200 | 193% |
| Blue Card Nasco | $200 | 193% |
| Bridge Point | $200 | 193% |
| Cigna | $200 - $270 | 193% |
| Cofinity | $200 | 193% |
| Colorado Access | $200 - $441 | 193% |
| Colorado Access Advantage | $200 | 193% |
| Coventry Health Care | $200 | 193% |
| Denver Health Medical Plan | $200 | 193% |
| Ebms | $200 | 193% |
| First Health | $200 | 193% |
| Fmh Benefit Services | $200 | 193% |
| Healthchoice | $200 | 193% |
| Healthscope Benefits Inc | $200 - $258 | 193% |
| Maestro Health | $200 | 193% |
| Simplan Insurance | $200 | 193% |
| Rocky Mtn Pace | $217 | 209% |
| Magellan Health Services | $219 | 211% |
| Magellan Insurance | $219 | 211% |
| Houston Casualty Co | $220 | 212% |
| Trans America Ins | $220 | 212% |
| Asr Health | $231 | 223% |
| Starmark Insurance | $243 | 234% |
| Trustmark Small Business Benefits | $243 | 234% |
| American Republic Corp Ins | $250 | 241% |
| Ben-E-Lect | $250 | 241% |
| Cnic | $250 | 241% |
| Compsych | $250 | 241% |
| Coventry | $250 | 241% |
| Dean Health Plans | $250 - $293 | 241% |
| Mayo Health Solutions | $250 | 241% |
| Tufts Health Plan | $257 | 248% |
| Continental Insurance - Marpai Health | $258 | 249% |
| Upmc Health Plan | $261 | 251% |
| Cover Colorado Rocky Mountain Health | $300 | 289% |
| Simplified Benefits Administrators | $300 | 289% |
| Employers Health Network | $302 | 291% |
| Healthcomp Integrated Solutions Llc | $302 | 291% |
| Friday Health Plans | $321 | 309% |
| Provider Network Of America | $325 | 313% |
| Molina Healthcare Of Texas | $350 | 337% |
| Denver Health Dhha | $400 | 385% |
| Imagine 360 Administrators | $400 | 385% |
| Parkcare Plus | $400 | 385% |
| Routt County Jail & Detention Center | $400 | 385% |
| Shelter Point | $400 | 385% |
| Bright Health Management | $424 | 409% |
| Colorado Access Chp+ | $441 | 425% |
| First Choice Health Network | $449 | 433% |
| Mines And Associates, Pc | $450 | 434% |
| Modern Assistance Program | $600 | 578% |