CMS Price Transparency Data
Group therapy session
Facility: St Mary's Hospital
Billing Code: 90853 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$68
about 0.7× the $104 Medicare rate · typically $27–$195
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $68 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.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $16 - $49 | 15% |
| Blue Cross Blue Shieldmajor | $14 - $47 | 13% |
| Aetnamajor | $16 - $44 | 15% |
| GEHA | $18 - $46 | 17% |
| + 4 smaller / regional plans | $16 - $46 |
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at St Mary's Hospital
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.