CMS Price Transparency Data

Group therapy session

Facility: Curry General Hospital

Billing Code: 90853 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90853
Insurance Median: $105
Cash Discount Price: $111
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Group therapy session at Curry General Hospital is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $111. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 1.01x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.

Cash / Self-Pay

$111

Average discount available for prompt cash payment at this facility.

Insurance Median

$105

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: $111 (107%)

Insurance Median: $105 (101%)

Cash: $111 (107% of Medicare)

Ins. Median: $105 (101% 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
Partnership Health Plan Of Calif Mdcd Hmo [2008]	$6	6%
Cigna	$19 - $109	18%
Tricare	$35	34%
Covid19 Hrsa Uninsured Testing And Treatment Fund [2271]	$48	46%
Medicare (plans)	$48 - $72	46%
Blue Cross Blue Shield	$57 - $111	55%
Medicaid / KanCare	$70 - $72	67%
Department Of Corrections [1051]	$72	69%
First Choice Health Admin [1294]	$74	71%
First Choice [528]	$74	71%
Coordinated Care Commercial [1649]	$94	91%
Pacificsource [1148]	$94	91%
Moda [512]	$95 - $100	92%
Multiplan [1131]	$101	97%
Asuris [1258]	$105	101%
Operating Engineers [1144]	$105	101%
Regence [1351]	$105 - $111	101%
Coventry First Health Managed Care [1774]	$109	105%
Coventry Health [1046]	$109	105%
Providence Health Plan Plm Alt [1692]	$109	105%
Providence Health Plan [567]	$109	105%
Aetna	$111	107%
Employee Bene Admin Mgmt [525]	$111	107%
Geha [531]	$111	107%
Mailhandlers Benefit Pln [547]	$111	107%
Meritain [550]	$111	107%
Nw Sheet Metal Workers [597]	$111	107%
Trustmark [524]	$111	107%
UnitedHealthcare	$111	107%
Zenith Administrators [586]	$111	107%
Allcare Alt [2598]	$300	289%
Allcare [1695]	$300	289%

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 $111.
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 Curry General 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.