CMS Price Transparency Data

Group therapy session

Facility: Henry Ford Allegiance Health

Billing Code: 90853 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90853
Insurance Median: $37
Cash Discount Price: $32
vs. Medicare Baseline: 0.36x Medicare

The contracted insurance negotiated median rate for a Group therapy session at Henry Ford Allegiance Health is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 0.36x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.

Cash / Self-Pay

$32

Average discount available for prompt cash payment at this facility.

Insurance Median

$37

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%)

Cash / Self-Pay: $32 (31%)

Insurance Median: $37 (36%)

Cash: $32 (31% of Medicare)

Ins. Median: $37 (36% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

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	$13 - $185	13%
Blue Cross Blue Shield	$13 - $93	13%
Hap Caresource	$13 - $93	13%
Mclaren	$13	13%
Meridian Health Plan Of Mi	$13 - $126	13%
Priority Health	$13 - $162	13%
Mclaren Health Plan Inc.	$16 - $27	15%
Meridian	$16 - $19	15%
Humana	$17 - $95	16%
Molina	$17 - $54	16%
Priority	$17 - $27	16%
Hap	$20 - $176	19%
Vaccn	$23 - $28	22%
Bcn	$24 - $93	23%
Cca Health Mi	$24 - $27	23%
Health Alliance Plan Of Michigan	$24 - $27	23%
Thomas Pace	$24 - $93	23%
United Behavioral Health, Inc.	$25 - $29	24%
Vitalcore Physicians Group Of Mi	$31 - $208	30%
Frontpath	$32 - $256	31%
Mclaren Health	$34 - $143	33%
Cigna	$35 - $253	34%
Jackson County Offiice Of The Sheriff	$35 - $148	34%
Immergrun Inc	$41 - $170	40%
Cofinity	$48	46%
University Of Michigan	$48 - $199	46%
UnitedHealthcare	$50 - $210	48%
Cofinity Group Health	$61 - $256	59%
Multiplan, Inc.	$61 - $256	59%
Veterans Evaluation Services	$69	66%
Molina Mi Health Link	$81	78%
Cca Health Michigan	$93	90%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $32.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90853.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Henry Ford Allegiance Health is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90853.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.