Group psychotherapy
Medicare pricing data for 6,989 providers across 52 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Group psychotherapy (HCPCS code 90853) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $21.99, but hospitals typically charge $88.84 — a 4.0x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $21.99, your out-of-pocket cost would be approximately $4.40. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 4.0x more than what Medicare allows for this procedure. Medicare actually pays $16.72 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $35 | $99 | 10 | 331 | +61.3% |
| Puerto Rico | $26 | $48 | 8 | 567 | +18.1% |
| District of Columbia | $26 | $89 | 30 | 1,055 | +16.5% |
| California | $25 | $134 | 435 | 25,178 | +14.7% |
| Mississippi | $25 | $29 | 9 | 5,423 | +13.6% |
| Hawaii | $25 | $54 | 16 | 621 | +12.5% |
| Florida | $24 | $162 | 183 | 15,749 | +8.9% |
| Pennsylvania | $23 | $87 | 279 | 16,422 | +6.2% |
| South Carolina | $23 | $78 | 61 | 580 | +5.5% |
| New York | $23 | $113 | 680 | 34,410 | +4.4% |
| South Dakota | $23 | $51 | 20 | 1,068 | +3.7% |
| Illinois | $23 | $58 | 236 | 26,372 | +3.6% |
| Texas | $23 | $78 | 135 | 31,190 | +2.8% |
| Arizona | $23 | $127 | 48 | 3,765 | +2.5% |
| Massachusetts | $23 | $83 | 535 | 25,719 | +2.4% |
| Oklahoma | $23 | $49 | 27 | 801 | +2.3% |
| New Hampshire | $22 | $101 | 112 | 4,293 | +1.5% |
| Maryland | $22 | $68 | 210 | 11,860 | +1.3% |
| New Jersey | $22 | $108 | 220 | 12,330 | +1.3% |
| Nebraska | $22 | $107 | 19 | 952 | +0.6% |
| Rhode Island | $22 | $90 | 39 | 830 | -0.8% |
| Louisiana | $22 | $56 | 58 | 1,478 | -1.0% |
| Washington | $22 | $106 | 82 | 2,147 | -1.1% |
| Oregon | $22 | $84 | 126 | 4,253 | -1.4% |
| Minnesota | $22 | $111 | 221 | 7,274 | -1.6% |
| Alabama | $21 | $54 | 18 | 2,598 | -2.4% |
| Ohio | $21 | $60 | 238 | 8,263 | -2.4% |
| Wisconsin | $21 | $145 | 201 | 6,361 | -2.5% |
| Virginia | $21 | $73 | 193 | 5,819 | -2.9% |
| Vermont | $21 | $80 | 73 | 3,596 | -5.0% |
| West Virginia | $21 | $91 | 75 | 1,972 | -5.0% |
| Colorado | $21 | $79 | 149 | 3,208 | -5.6% |
| Delaware | $21 | $43 | 16 | 1,275 | -6.0% |
| Arkansas | $21 | $42 | 112 | 22,930 | -6.0% |
| Nevada | $21 | $55 | 49 | 1,084 | -6.6% |
| New Mexico | $20 | $50 | 50 | 1,245 | -6.8% |
| Michigan | $20 | $63 | 348 | 17,409 | -7.8% |
| Wyoming | $20 | $98 | 25 | 970 | -7.9% |
| Tennessee | $20 | $83 | 60 | 1,347 | -8.1% |
| Connecticut | $20 | $92 | 392 | 18,723 | -8.8% |
| Indiana | $20 | $78 | 231 | 9,054 | -9.0% |
| North Dakota | $20 | $57 | 24 | 725 | -9.3% |
| Kentucky | $20 | $66 | 92 | 1,749 | -9.3% |
| Iowa | $20 | $101 | 76 | 1,770 | -9.4% |
| Georgia | $20 | $93 | 118 | 19,538 | -9.4% |
| North Carolina | $20 | $96 | 192 | 7,974 | -10.1% |
| Utah | $19 | $61 | 109 | 2,210 | -11.4% |
| Montana | $19 | $46 | 17 | 568 | -12.7% |
| Kansas | $19 | $70 | 73 | 2,295 | -14.0% |
| Idaho | $19 | $57 | 53 | 1,031 | -14.2% |
| Missouri | $19 | $83 | 89 | 4,949 | -15.5% |
| Maine | $18 | $177 | 97 | 2,909 | -18.0% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber