Group therapy session
Facility: Saint Mary's Hospital
Billing Code: 90853 (CPT)
This hospital's typical commercial price is $107 compared to the $92 fair price benchmark.
3-Star CMS clinical quality rating paired with 1.16× fair market pricing.
Highest price of the 9 CT hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 CT hospitals with a price for this procedure. Full list below.
A fair price for a Group therapy session is about $92 (about 0.9× the $104 Medicare rate). Saint Mary's Hospital charges insurers about $107, or about $181 in cash — above the fair price. Located in Waterbury, CT.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $92. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
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 | $321 - $338 | 309% |
| Aetnamajor | $86 - $107 | 83% |
| Cignamajor | $173 - $270 | 167% |
| Dean Health Plan | $247 - $260 | 238% |
| GEHA | $321 - $338 | 309% |
| Harvard Pilgrim | $321 - $338 | 309% |
| HealthPartners | $173 - $183 | 167% |
| MagnaCare | $173 - $183 | 167% |
| MVP Health Care | $247 - $260 | 238% |
| Paramount | $247 - $260 | 238% |
| + 23 smaller / regional plans | $107 - $338 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Saint Mary's Hospital
Compare: Group therapy session at other CT hospitals
- Gaylord Hospital · Wallingford $28
- Greenwich Hospital Association - · Greenwich $41
- Windham Community Memorial Hospital · Willimantic $58
- William W Backus Hospital · Norwich $60
- Hartford Hospital · Hartford $60
- The Hospital of Central Connecticut · New Britain $61
- St Vincent's Medical Center · Bridgeport $76
- Bristol Hospital · Bristol $80
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Saint Mary's Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $120
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $120).
Self-Pay Cash Rate ($181) Beats Your Bill
Saint Mary's Hospital's published 45 CFR § 180 self-pay cash rate is $181 (vs. $107 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $92 Fair BaseRate ($104 Medicare)
Your bill ($330) is $238 above the denoised Fair BaseRate ($92) and 3.2× the $104 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.