CMS Price Transparency Data

Group therapy session

Facility: Robert Wood Johnson University Hospital - Somerset

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$107

about 1.0× the $104 Medicare rate · typically $66–$134

modeled estimate · not a bill or quote

What this hospital charges insurers

$101

About the fair price

about $6 under the fair price · 1.0× Medicare

Medicare pays $104 Fair price $107 This hospital $101 Cash price $111 Hospital's list price $654

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $24 Priciest $101

Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.

A fair price for a Group therapy session is about $107 (about 1.0× the $104 Medicare rate). Robert Wood Johnson University Hospital - Somerset charges insurers about $101, or about $111 in cash — about the fair price. Located in Somerville, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
Blue Cross Blue Shieldmajor	$31 - $598	30%
Aetnamajor	$101 - $543	97%
Cignamajor	$343 - $459	330%
Humanamajor	$101	97%
AmeriHealth	$560	540%
Clover Health	$101	97%
Fidelis Care	$97 - $101	93%
WellCare	$201	194%
+ 2 smaller / regional plans	$177 - $497

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 111), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90853.

Insurance Before you use insurance

Call your insurance company to confirm Robert Wood Johnson University Hospital - Somerset is in-network.
Ask your insurer whether prior approval is required for CPT code 90853.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Robert Wood Johnson University Hospital - Somerset

Compare: Group therapy session at other NJ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.