CMS Price Transparency Data

Group therapy session

Facility: Christ Hospital

Billing Code: 90853 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90853
Insurance Median: $163
Cash Discount Price: $390
vs. Medicare Baseline: 1.57x Medicare

The contracted insurance negotiated median rate for a Group therapy session at Christ Hospital is $163. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $390. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 1.57x the Medicare baseline. Located in 2139 Auburn Avenue, Cincinnati, OH.

Cash / Self-Pay

$390

Average discount available for prompt cash payment at this facility.

Insurance Median

$163

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: $390 (376%)

Insurance Median: $163 (157%)

Cash: $390 (376% of Medicare)

Ins. Median: $163 (157% 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
Blue Cross Blue Shield	$21 - $826	20%
Caresource [2031]	$21 - $390	20%
Humana	$21 - $390	20%
Medicaid / KanCare	$21 - $390	20%
Aetna	$85 - $390	82%
Allied Benefits [2163]	$85 - $269	82%
Ambetter / Centene	$85	82%
Buckeye Mycare Dual [2171]	$85	82%
Cigna	$85 - $650	82%
Custom Design Benefits - True Cost [3004]	$85	82%
First Health [2041]	$85 - $269	82%
Medben [2222]	$85	82%
Medicare (plans)	$85	82%
Medigold Ppo [2204]	$85	82%
Meridian [2185]	$85	82%
Meritain Health [2224]	$85 - $269	82%
Other Exchange Plan [9992]	$85 - $650	82%
Perennial [4200]	$85	82%
Poppins Health [2299]	$85	82%
UnitedHealthcare	$85 - $650	82%
Kentucky Passport/Molina [2097]	$162	156%
Wellcare Of Kentucky [2191]	$162	156%
Medical Mutual [2054]	$252	243%
Western And Southern [2076]	$252	243%
Ohio Health Choice [2062]	$312	301%
Nalc [2178]	$345	332%
Priority Health [2225]	$345	332%
Life Synch [2080]	$356	343%
Amerihealth Caritas [2230]	$390	376%
Buckeye Community Health [2028]	$390	376%
Geha [2168]	$390	376%
Golden Rule [2161]	$390	376%
United Medical Resources [2104]	$390	376%
Multiplan/Phcs [2059]	$474	457%
Bccp [3079]	$650	626%
Healthcare Highways [2298]	$650	626%
Sagamore Health Network [2066]	$650	626%
Suburban Health [2408]	$650	626%

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 $390.
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 Christ Hospital 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.