Group therapy session
Facility: University Of Kansas Hospital
Billing Code: 90853 (CPT)
- CPT Billing Code: 90853
- Insurance Median: $126
- Cash Discount Price: $41
- vs. Medicare Baseline: 1.21x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Larned State Hospital [503200090] | $60 | 58% |
| Hchsync Centrus Health Direct [503999916] | $61 - $71 | 59% |
| Blue Cross Blue Shield | $78 - $156 | 75% |
| Alt Theramatrix [5032000967] | $84 | 81% |
| Health Plan Inc [503999941] | $95 | 92% |
| Triwest [503201703] | $95 | 92% |
| Humana | $95 | 92% |
| Tricare | $95 | 92% |
| Cigna | $101 - $162 | 97% |
| Accarent Health [503999034] | $102 | 98% |
| Alt Carelon Behavioral Health [503200905] | $102 | 98% |
| Aetna | $105 - $137 | 101% |
| Coventry [503200022] | $105 - $137 | 101% |
| Coresource [503200089] | $105 | 101% |
| Meritain Health [503200039] | $105 - $171 | 101% |
| National Assn Letter Carriers [503200019] | $112 | 108% |
| Php [503200005] | $122 - $150 | 118% |
| Allied National [503999937] | $122 | 118% |
| Cerner [503200038] | $123 | 119% |
| Inter-Americas Insurance [503999032] | $123 | 119% |
| Geha [503200036] | $123 | 119% |
| Healthlink [503200007] | $123 - $150 | 119% |
| Med-Pay [503200040] | $123 | 119% |
| Alt Wppa [5032000964] | $123 | 119% |
| Alt Coventry Advantra Mhnet [50311260] | $124 | 119% |
| Alt Coventry Mhnet [503200030] | $124 | 119% |
| Mh Net [503999024] | $124 | 119% |
| Aha-Healthcare Preferred [503200050] | $134 | 129% |
| First Health [5032000110] | $134 | 129% |
| Alt Meritain Health [503999911] | $137 | 132% |
| Correct Care Solutions [50311253] | $142 | 137% |
| Coeur Plan Services [503301517] | $142 | 137% |
| Consolidated Billing [50311256] | $142 | 137% |
| Ascension Living Hope [503201517] | $142 | 137% |
| Orscheln Industries [503201608] | $152 | 146% |
| Alt Lucent Health Solutions [503202603] | $156 | 150% |
| Empire Plan/Nyship [503200705] | $156 | 150% |
| Alt Lineco [5032000976] | $156 | 150% |
| Point Comfort Underwriters [503200018] | $162 | 156% |
| Quiktrip [5032000412] | $162 | 156% |
| Century Health Solutions [503200054] | $162 | 156% |
| Wppa [503200056] | $171 | 165% |
| Usa Managed Care [503999030] | $183 | 176% |
| Three Rivers Provider Network [503999029] | $183 | 176% |
| Sanford Health Plan [503999027] | $183 | 176% |
| Employers Health Network [503999025] | $183 | 176% |
| Plan Care America [503999026] | $183 | 176% |
| Workers Comp [503999901] | $193 | 186% |
Consumer Guidance & Cost Commentary
For this procedure, the University of Kansas Hospital's cash price of $41.00 is significantly lower than the facility's gross charge of $203.00 and the Medicare benchmark of $103.79. While the hospital is a government-owned acute care facility in Kansas City, KS, patients with high-deductible plans may find the cash rate more affordable than the negotiated rates paid by insurance carriers, which range from $60 to $183 depending on the payer. Although the facility's cash price is lower than the state average, it is important to note that commercial negotiated rates often exceed cash prices due to administrative costs and contract structures. Patients should verify their specific plan's allowed amount before scheduling, as some in-network rates may still be higher than the self-pay option.
To ensure you receive the most accurate billing, we recommend requesting an itemized bill that details every CPT code and service rendered, as summary bills can sometimes obscure errors or unbundled charges. If you receive a balance bill for the difference between the provider's full charge and your insurance payment, you may be protected under the No Surprises Act if the service was provided at an in-network facility or was an emergency situation. Additionally, ask the hospital about prompt-pay discounts, which can reduce the cash price further by 20% to 50% if paid upfront, bypassing the administrative fees associated with insurance claims processing. Always dispute any unexpected bills in writing before accepting them to protect your financial interests.