CMS Price Transparency Data
Group therapy session
Facility: Providence St Elias Specialty Hospital
Billing Code: 90853 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$122
about 1.2× the $104 Medicare rate · typically $40–$267
modeled estimate · not a bill or quote
What this hospital charges insurers
$107
Below the fair price — a good deal
about $15 under the fair price · 1.0× Medicare
Medicare pays $104 Fair price $122 This hospital $107
A fair price for a Group therapy session is about $122 (about 1.2× the $104 Medicare rate). Providence St Elias Specialty Hospital charges insurers about $107 — below the fair price — a good deal. Located in Anchorage, AK.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $108 | 104% |
| Blue Cross Blue Shieldmajor | $99 | 95% |
| Aetnamajor | $102 - $125 | 98% |
| + 1 smaller / regional plan | $107 |
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