CMS Price Transparency Data
Group therapy session
Facility: Valor Health
Billing Code: 90853 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$73
about 0.7× the $104 Medicare rate · typically $27–$189
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $73 Cash price $126 Hospital's list price $133
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 | $24 - $40 | 23% |
| Blue Cross Blue Shieldmajor | $24 - $175 | 23% |
| Aetnamajor | $35 - $119 | 34% |
| Cignamajor | $40 - $44 | 39% |
| Humanamajor | $24 - $45 | 23% |
| Moda Health | $48 | 46% |
| Molina | $24 | 23% |
| PacificSource | $24 - $41 | 23% |
| SelectHealth | $24 - $35 | 23% |
Government programs also on file: Military & VA.
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Insurance Before you use insurance
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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
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Other Procedures at Valor Health
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.