CMS Price Transparency Data

Group therapy session

Facility: Memorialcare Saddleback Medical Center

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$130
about 1.3× the $104 Medicare rate · typically $87–$169
modeled estimate · not a bill or quote
What this hospital charges insurers
$149
About the fair price
about $19 over the fair price · 1.4× Medicare
Medicare pays $104 Fair price $130 This hospital $149 Cash price $416 Hospital's list price $416

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 $149

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 $130 (about 1.3× the $104 Medicare rate). Memorialcare Saddleback Medical Center charges insurers about $149, or about $416 in cash — about the fair price. Located in Laguna Hills, CA.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $63 - $476 61%
Aetnamajor $131 126%
SelectHealth $85 - $176 82%
+ 6 smaller / regional plans $118 - $327

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Facility Profile & Credentials

  • Address: 24451 Health Center Drive, Laguna Hills, CA 92653
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals