Group therapy session
Facility: Creekside Behavioral Health
Billing Code: 90853 (CPT)
- CPT Billing Code: 90853
- Insurance Median: $175
- Cash Discount Price: $175
- vs. Medicare Baseline: 1.69x 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 |
|---|---|---|
| UnitedHealthcare | $22 - $225 | 21% |
| Humana | $69 - $325 | 66% |
| Aetna | $70 - $266 | 67% |
| Va Molina Complete Care | $70 | 67% |
| Blue Cross Blue Shield | $142 - $260 | 137% |
| Va Mco Unitedhealtcare Community Plan | $142 | 137% |
| Administrative Concepts | $150 | 145% |
| Healthcomp | $150 | 145% |
| Medicaid / KanCare | $150 - $266 | 145% |
| Medicare (plans) | $150 - $175 | 145% |
| Sentara Commercial | $150 | 145% |
| Tn Mco Bluecare Plus | $160 | 154% |
| Tn Mco Blue Care | $170 | 164% |
| Va Mco Premier Elite Plus | $170 | 164% |
| Va Mco Virgina Premier Medallion 4.0 | $170 | 164% |
| 90 Degree Benefits - Mca Administrators | $175 | 169% |
| Altrua Healthshare | $175 | 169% |
| American Behavioral | $175 | 169% |
| Bright Health Plan | $175 - $325 | 169% |
| Carelon | $175 | 169% |
| Compsych | $175 | 169% |
| Health Cost Solutions | $175 | 169% |
| Pai | $175 | 169% |
| Selman Co | $175 | 169% |
| Surest | $175 | 169% |
| All Savers | $180 | 173% |
| Allied Benefits | $180 | 173% |
| Golden Rule Ins Company | $180 | 173% |
| United Behavioral Health Claims | $180 | 173% |
| Ambetter / Centene | $185 | 178% |
| Behavioral Health Systems | $225 | 217% |
| Beacon Health Options (Commerical) | $234 | 225% |
| Carelon Behavioral Health | $234 | 225% |
| Cigna | $235 - $278 | 226% |
| Meritain Health | $235 | 226% |
| Upmc Health Plan | $235 | 226% |
| Magellan Healthcare Commerical Plan | $239 | 230% |
| Acs Benefits Serivces | $250 | 241% |
| Consociate Health | $250 | 241% |
| Partners Behavioral Health | $250 | 241% |
| Medcost Benefit Services | $325 | 313% |