CMS Price Transparency Data

Group therapy session

Facility: Menifee Global Medical Center

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$120
about 1.2× the $104 Medicare rate · typically $39–$170
modeled estimate · not a bill or quote
What this hospital charges insurers
$130
About the fair price
about $10 over the fair price · 1.3× Medicare
Medicare pays $104 Fair price $120 This hospital $130 Cash price $383 Hospital's list price $383

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 $130

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 $120 (about 1.2× the $104 Medicare rate). Menifee Global Medical Center charges insurers about $130, or about $383 in cash — about the fair price. Located in Sun City, 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 $130 125%
Blue Cross Blue Shieldmajor $5 - $430 5%
Aetnamajor $130 - $252 125%
Cignamajor $165 - $540 159%
Humanamajor $130 125%
Kaiser Permanentemajor $130 - $398 125%
Health Net $78 - $425 75%
Molina $109 105%
+ 37 smaller / regional plans $4 - $875
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 10 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 28400 McCall Boulevard, Sun City, CA 92585
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals