Group therapy session
Facility: Ascension Via Christi Rehabilitation Hospital 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 - $111 | 73% |
| Va | $86 | 83% |
| Medicare (plans) | $86 - $87 | 83% |
| Humana | $86 | 83% |
| Vc Hope | $86 | 83% |
| Blue Cross Blue Shield | $87 | 84% |
| UnitedHealthcare | $87 - $240 | 84% |
| Smarthealth | $120 | 116% |
| Medicaid / KanCare | $145 | 140% |
Consumer Guidance & Cost Commentary
For the procedure "Group therapy session" at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the facility's negotiated rates range from $76 to $240 depending on the insurance carrier. The median negotiated rate across all payers is $86.00, which aligns closely with the lowest and highest negotiated rates reported for this service in the region. While commercial insurance contracts often result in higher costs due to administrative overhead and claim processing fees, patients should be aware that cash-pay rates are not listed in this report. In many cases, paying out-of-pocket directly can be more cost-effective than using insurance, especially if the patient's plan has a high deductible or if the insurance negotiated rate exceeds the facility's cash price.
To minimize unexpected costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling any appointments, as these upfront payment incentives can significantly reduce the final bill. It is also important to request a detailed, itemized bill rather than accepting a summary invoice, as hospitals may include unbundled charges or services that were not rendered. If a patient receives a balance bill for an out-of-network service at this in-network facility, they may be protected under the No Surprises Act, which bans balance billing for emergency and non-emergency care. Consumers are encouraged to verify their deductible status and compare the facility's rates against the Medicare benchmark of $103.79 to ensure they are receiving fair pricing for their healthcare services.