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CPT 90853

HC GROUP THERAPY NOT MULTI-FAMILY

Reported by 104 hospitals in the network under the case rate methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$0

Average

$1.3k

Median

$110

High

$78.5k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$52$93$95$214$5
2Northwest Iowa Hospital CorporationSioux City, IA$75$93$93$565$1
3St Luke's Methodist HospitalCedar Rapids, IA$39$89$89$310$1
4Trinity Medical CenterRock Island, IL$56$100$103$262$15
5Trinity Medical CenterBettendorf, IA$50$90$95$256$17
6Unity HealthcareMuscatine, IA$50$90$95$278$15
7Trinity Regional Medical CenterFort Dodge, IA$79$88$88$243$1
8Meriter Hospital, IncMadison, WI$10$89$82$1.6k$10
9Central Iowa Hospital CorporationDes Moines, IA$88$89$89$435$1
10Central Iowa Hospital CorporationDes Moines, IA$89$96$96$435$1
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