CMS Price Transparency Data
Group therapy session
Facility: Idaho Falls Community Hospital, LLC
Billing Code: 90853 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$79
about 0.8× the $104 Medicare rate · typically $40–$101
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $79 Hospital's list price $1
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 | $100 | 96% |
| Blue Cross Blue Shieldmajor | $100 | 96% |
| Aetnamajor | $100 | 96% |
| Humanamajor | $100 | 96% |
| Moda Health | $226 | 218% |
| Molina | $100 | 96% |
| PacificSource | $100 | 96% |
| SelectHealth | $100 | 96% |
| + 3 smaller / regional plans | $100 - $276 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Idaho Falls Community Hospital, LLC
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.