Group therapy session
Facility: University Medical Center
Billing Code: 90853 (CPT)
- CPT Billing Code: 90853
- Insurance Median: $50
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.48x 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 |
|---|---|---|
| Ambetter / Centene | $22 - $158 | 21% |
| Blue Cross Blue Shield | $22 - $102 | 21% |
| Molina | $22 - $151 | 21% |
| Sierra Health And Life | $22 - $118 | 21% |
| Aig | $25 - $27 | 24% |
| Beech Street | $25 - $27 | 24% |
| Cement Masons & Plasters H&W | $25 - $27 | 24% |
| Boyd Group | $26 - $30 | 25% |
| Bricklayers Local 13 | $26 - $30 | 25% |
| Caesar'S Entertainment | $26 - $30 | 25% |
| California Ironwork Field Welfare | $26 - $30 | 25% |
| Electrical Workers | $26 - $30 | 25% |
| Laborers Health And Welfare | $26 - $30 | 25% |
| Operating Engineers | $26 - $30 | 25% |
| Plumbers & Pipefitters Loc 525 | $26 - $30 | 25% |
| Sheet Metal Workers | $26 - $30 | 25% |
| So Ca Pipe Trades H&W | $26 - $30 | 25% |
| Southwest Carpenters H&W | $26 - $30 | 25% |
| Teamsters Local 14 | $26 - $30 | 25% |
| Teamsters Local 631 | $26 - $30 | 25% |
| Teamsters Local 986 | $26 - $30 | 25% |
| Ufcw Local 711 Retail Clerks | $26 - $30 | 25% |
| Cigna | $50 - $57 | 48% |
| Cirque De Soleil | $50 - $57 | 48% |
| City Of North Las Vegas | $50 - $57 | 48% |
| Great West Healthcare | $50 - $57 | 48% |
| Kaiser | $50 - $57 | 48% |
| National Security Technologies | $50 - $57 | 48% |
| Advantra Freedom | $102 | 98% |
| Aetna | $102 - $179 | 98% |
| Alignment Health | $102 | 98% |
| Allwell | $102 | 98% |
| Healthcare Partners Of Nevada | $102 | 98% |
| P3 Health Partners Nevada | $102 | 98% |
| Scan | $102 | 98% |
| Selecthealth | $102 - $151 | 98% |
| UnitedHealthcare | $102 | 98% |
| Va Pc3 (Va Choice) | $102 | 98% |
| Health Direct Partners | $165 | 159% |
| Nevada Preferred Professionals | $204 | 197% |
| Prominence Health Plan | $204 | 197% |
| Universal Health Network (Uhn) | $204 | 197% |