CMS Price Transparency Data
Group therapy session
Facility: Saint Alphonsus Regional Medical Center
Billing Code: 90853 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$117
about 1.1× the $104 Medicare rate · typically $40–$181
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $117 Cash price $24 Hospital's list price $37
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 | $37 | 36% |
| Blue Cross Blue Shieldmajor | $66 - $281 | 64% |
| Aetnamajor | $34 | 33% |
| Cignamajor | $32 | 31% |
| Humanamajor | $37 | 36% |
| Kaiser Permanentemajor | $74 | 71% |
| Dean Health Plan | $33 | 32% |
| GEHA | $34 | 33% |
| Health Net | $27 - $33 | 26% |
| Moda Health | $33 | 32% |
| PacificSource | $22 - $27 | 21% |
| Paramount | $33 | 32% |
| Priority Health | $32 | 31% |
| SelectHealth | $33 - $63 | 32% |
| + 41 smaller / regional plans | $11 - $281 |
Government programs also on file: Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Saint Alphonsus Regional Medical Center
Compare: Group therapy session at other ID hospitals
- West Valley Medical Center · Caldwell $24
- Kootenai Health · Coeur D'Alene $30
- Treasure Valley Hospital · Boise $86
- Eastern Idaho Regional Medical Center · Idaho Falls $105
- St Luke's Wood River Medical Center · Ketchum $185
- St Luke's Nampa Medical Center · Nampa $239
Insurance negotiated median for the same procedure, sorted lowest first.