Group therapy session
Facility: Ascension Via Christi Hospitals Wichita, Inc.
Billing Code: 90853 (CPT)
- CPT Billing Code: 90853
- Insurance Median: $86
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.83x 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 |
|---|---|---|
| Aetna | $76 | 73% |
| Saint Lukes Health Systems | $86 | 83% |
| Medicare (plans) | $86 - $87 | 83% |
| Via Christi Research | $86 | 83% |
| Vc Hope | $86 | 83% |
| Humana | $86 | 83% |
| Va | $86 | 83% |
| UnitedHealthcare | $87 - $240 | 84% |
| Blue Cross Blue Shield | $87 | 84% |
| Corizon | $107 | 103% |
| Smarthealth | $120 | 116% |
| Medicaid / KanCare | $145 | 140% |
Consumer Guidance & Cost Commentary
For the CPT code 90853, representing a group therapy session at Ascension Via Christi Hospitals Wichita, Inc., the negotiated rates range from $76 to $145 depending on the payer. The median negotiated rate across all payers is $86.00, which is significantly lower than the highest negotiated rate of $145.00 seen with Medicaid/KanCare plans. While the data does not provide a specific cash or state average for this code, it is important to note that cash-pay options can sometimes be more affordable than insurance negotiated rates, particularly for patients with high deductibles. Patients should verify if the facility offers self-pay or prompt-pay discounts, as paying upfront can often bypass the administrative overhead that inflates insurance rates.
When reviewing your bill, ensure you are comparing the facility's rates against the Medicare benchmark rather than the hospital's inflated chargemaster list. The Medicare amount for this service is $103.79, which serves as a scientifically validated baseline for the true cost of care. Commercial negotiated rates often exceed this benchmark due to administrative structures and contract dynamics, but they provide a ceiling that protects members from the full list price. If you receive a bill that appears higher than expected, request an itemized audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies that can be resolved through a formal written dispute.