CMS Price Transparency Data

Group therapy session

Facility: Grinnell Regional Medical Center

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$71
about 0.7× the $104 Medicare rate · typically $36–$123
modeled estimate · not a bill or quote
What this hospital charges insurers
$43
Below the fair price — a good deal
about $28 under the fair price · 0.4× Medicare
Medicare pays $104 Fair price $71 This hospital $43 Cash price $62 Hospital's list price $78

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

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

Cheapest $18 Priciest $43

Black dot = this hospital, among the 9 IA hospitals with a price for this procedure. Full list below.

A fair price for a Group therapy session is about $71 (about 0.7× the $104 Medicare rate). Grinnell Regional Medical Center charges insurers about $43, or about $62 in cash — below the fair price — a good deal. Located in Grinnell, IA.

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✓ 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 $25 - $91 24%
Blue Cross Blue Shieldmajor $24 - $88 23%
Aetnamajor $24 - $88 23%
Cignamajor $60 58%
Humanamajor $25 - $91 24%
Amerigroup $92 89%
HealthPartners $35 34%
Molina $24 - $88 23%
+ 2 smaller / regional plans $25 - $92

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 210 Fourth Avenue, Grinnell, IA 50112
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals