CMS Price Transparency Data

Group therapy session

Facility: Methodist Hospital of Sacramento

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$166
about 1.6× the $104 Medicare rate · typically $59–$230
modeled estimate · not a bill or quote
What this hospital charges insurers
$188
About the fair price
about $22 over the fair price · 1.8× Medicare
Medicare pays $104 Fair price $166 This hospital $188 Cash price $81 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 $188

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 $166 (about 1.6× the $104 Medicare rate). Methodist Hospital of Sacramento charges insurers about $188, or about $81 in cash — about the fair price. Located in Sacramento, 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 - $246 98%
Health Net $15 - $122 14%
Molina $7 7%
+ 6 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: 7500 Hospital Drive, Sacramento, CA 95823
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals