CMS Price Transparency Data

Group therapy session

Facility: Adventist Health Lodi Memorial

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$104
about 1.0× the $104 Medicare rate · typically $30–$160
modeled estimate · not a bill or quote
What this hospital charges insurers
$29
Below the fair price — a good deal
about $75 under the fair price · 0.3× Medicare
Medicare pays $104 Fair price $104 This hospital $29 Cash price $5 Hospital's list price $72

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

On the higher side — 6 of 8 other CA hospitals charge less.

Cheapest $20 Priciest $31

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Group therapy session is about $104 (about 1.0× the $104 Medicare rate). Adventist Health Lodi Memorial charges insurers about $29, or about $5 in cash — below the fair price — a good deal. Located in Lodi, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $25 - $32 24%
Blue Cross Blue Shieldmajor $25 - $68 24%
Aetnamajor $50 48%
Cignamajor $29 28%
Humanamajor $25 24%
Kaiser Permanentemajor $3 - $33 3%
Health Net $4 - $36 4%
+ 11 smaller / regional plans $3 - $35
Government programs also on file: Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 975 S Fairmont Avenue, Lodi, CA 95240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals