What do doctors typically charge for Group Psychotherapy Other Than of a Multiple-family Group?

The nationwide median physician charge for Group Psychotherapy Other Than of a Multiple-family Group (HCPCS G0410) is $100.00. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for HCPCS G0410?

The standard insurance baseline reimbursement rate is $86.67. This represents the customary allowable amount established across standard fee schedules.

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HCPCS G0410Medical Service

Group Psychotherapy Other Than of a Multiple-family Group

Group psychotherapy other than of a multiple-family group, in a partial hospitalization setting, approximately 45 to 50 minutes. Clinical pricing breakdown and utilization metrics across 1 practicing doctors nationwide.

$100.00

Peer Median Charge

Gross billed rate

$86.67

Standard Baseline

Customary allowable

1.2x

National Markup

Charge vs baseline

Active Physicians

Billing this code

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $100.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $86.67 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code G0410 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"