CMS Price Transparency Data

Group therapy session

Facility: Temple Health - Chestnut Hill Hospital

Billing Code: 90853 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90853
Insurance Median: $131
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.26x Medicare

The contracted insurance negotiated median rate for a Group therapy session at Temple Health - Chestnut Hill Hospital is $131. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 1.26x the Medicare baseline. Located in 8835 Germantown Avenue, Philadelphia, PA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$131

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%)

Insurance Median: $131 (126%)

Ins. Median: $131 (126% 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
UnitedHealthcare	$41 - $393	40%
Blue Cross Blue Shield	$62 - $1,261	60%
Health Partners Plans	$78 - $110	75%
Upmc Health Plan	$88 - $143	85%
Point Comfort	$104	100%
Innovage	$106	102%
Keystone First	$106 - $221	102%
Vibra	$106	102%
Humana	$108	104%
Cigna	$109 - $118	105%
Geisinger	$109 - $590	105%
Gateway Health Plan	$110	106%
Pennsylvania Health And Wellness	$110 - $227	106%
Aetna	$113 - $652	109%
Sunrise	$115	111%
Elder Health	$125	120%
Naphcare	$157	151%
Occunet	$157	151%
Devon Health	$433 - $702	417%

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 $X.
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 Temple Health - Chestnut Hill 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.