CMS Price Transparency Data
Group therapy session
Facility: Clearwater Valley Hospital & Clinics
Billing Code: 90853 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$59
about 0.6× the $104 Medicare rate · typically $28–$179
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $59 Cash price $21 Hospital's list price $28
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 | $49 | 47% |
| Blue Cross Blue Shieldmajor | $10 - $47 | 10% |
| Aetnamajor | $10 - $44 | 10% |
| Cignamajor | $47 | 45% |
| Humanamajor | $10 - $46 | 10% |
| GEHA | $19 - $46 | 18% |
| + 5 smaller / regional plans | $10 - $46 |
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Insurance Before you use insurance
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Other Procedures at Clearwater Valley Hospital & Clinics
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.