CMS Price Transparency Data

Group therapy session

Facility: Mercy San Juan Medical Center

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$165
about 1.6× the $104 Medicare rate · typically $56–$230
modeled estimate · not a bill or quote
What this hospital charges insurers
$160
About the fair price
about $5 under the fair price · 1.5× Medicare
Medicare pays $104 Fair price $165 This hospital $160 Cash price $77 Hospital's list price $281

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $20 Priciest $160

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 $165 (about 1.6× the $104 Medicare rate). Mercy San Juan Medical Center charges insurers about $160, or about $77 in cash — about the fair price. Located in Carmichael, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana✓ Kaiser Permanente Cigna

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 $4 - $312 4%
Blue Cross Blue Shieldmajor $9 - $125 9%
Aetnamajor $122 118%
Humanamajor $122 118%
Kaiser Permanentemajor $102 - $168 98%
Health Net $14 13%
Molina $7 - $122 7%
+ 8 smaller / regional plans $7 - $250
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 6501 Coyle Ave, Carmichael, CA 95608
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals