Group therapy session
Facility: University Medical Center
Billing Code: 90853 (CPT)
- CPT Billing Code: 90853
- Insurance Median: $50
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.48x 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 |
|---|---|---|
| Blue Cross Blue Shield | $22 - $102 | 21% |
| Sierra Health and Life | $22 - $118 | 21% |
| Molina | $22 - $151 | 21% |
| Ambetter / Centene | $22 - $158 | 21% |
| Beech Street | $25 - $27 | 24% |
| Aig | $25 - $27 | 24% |
| Cement Masons & Plasters H&W | $25 - $27 | 24% |
| Plumbers & Pipefitters Loc 525 | $26 - $30 | 25% |
| California Ironwork Field Welfare | $26 - $30 | 25% |
| Teamsters Local 631 | $26 - $30 | 25% |
| Electrical Workers | $26 - $30 | 25% |
| Boyd Group | $26 - $30 | 25% |
| Teamsters Local 14 | $26 - $30 | 25% |
| Operating Engineers | $26 - $30 | 25% |
| So Ca Pipe Trades H&W | $26 - $30 | 25% |
| Southwest Carpenters H&W | $26 - $30 | 25% |
| Ufcw Local 711 Retail Clerks | $26 - $30 | 25% |
| Bricklayers Local 13 | $26 - $30 | 25% |
| Sheet Metal Workers | $26 - $30 | 25% |
| Teamsters Local 986 | $26 - $30 | 25% |
| Laborers Health and Welfare | $26 - $30 | 25% |
| Caesar's Entertainment | $26 - $30 | 25% |
| City of North Las Vegas | $50 - $57 | 48% |
| National Security Technologies | $50 - $57 | 48% |
| Kaiser | $50 - $57 | 48% |
| Cirque De Soleil | $50 - $57 | 48% |
| Great West Healthcare | $50 - $57 | 48% |
| Cigna | $50 - $57 | 48% |
| Healthcare Partners of Nevada | $102 | 98% |
| Selecthealth | $102 - $151 | 98% |
| P3 Health Partners Nevada | $102 | 98% |
| Alignment Health | $102 | 98% |
| Advantra Freedom | $102 | 98% |
| Scan | $102 | 98% |
| VA Pc3 (VA Choice) | $102 | 98% |
| UnitedHealthcare | $102 | 98% |
| Allwell | $102 | 98% |
| Aetna | $102 - $179 | 98% |
| Health Direct Partners | $165 | 159% |
| Universal Health Network (Uhn) | $204 | 197% |
| Prominence Health Plan | $204 | 197% |
| Nevada Preferred Professionals | $204 | 197% |