CMS Price Transparency Data

Group therapy session

Facility: Hospital of Univ of Pennsylvania

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$114

about 1.1× the $104 Medicare rate · typically $47–$118

modeled estimate · not a bill or quote

What this hospital charges insurers

$112

About the fair price

about $2 under the fair price · 1.1× Medicare

Medicare pays $104 Fair price $114 This hospital $112 Cash price $115 Hospital's list price $115

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $16 Priciest $112

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

A fair price for a Group therapy session is about $114 (about 1.1× the $104 Medicare rate). Hospital of Univ of Pennsylvania charges insurers about $112, or about $115 in cash — about the fair price. Located in Philadelphia, PA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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
UnitedHealthcaremajor	$59 - $115	57%
Blue Cross Blue Shieldmajor	$31 - $225	30%
Aetnamajor	$26 - $115	25%
Cignamajor	$40 - $110	39%
Humanamajor	$92 - $110	89%
Kaiser Permanentemajor	$69 - $115	66%
Clover Health	$115	111%
Devoted Health	$112	108%
Geisinger	$110 - $339	106%
Health Net	$69 - $115	66%
HealthPartners	$110 - $115	106%
Oscar Health	$182	175%
UPMC Health Plan	$29 - $115	28%
+ 39 smaller / regional plans	$13 - $283

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 3 rental-network / third-party entries (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 115), 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 Hospital of Univ of Pennsylvania 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 Hospital of Univ of Pennsylvania

Compare: Group therapy session at other PA hospitals

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