CMS Price Transparency Data

Group therapy session

Facility: OSF Saint Anthony's Health Center

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$109

about 1.0× the $104 Medicare rate · typically $53–$195

modeled estimate · not a bill or quote

What this hospital charges insurers

$109

About the fair price

1.0× Medicare

Medicare pays $104 Fair price $109 This hospital $109 Cash price $125 Hospital's list price $209

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $24 Priciest $109

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a Group therapy session is about $109 (about 1.0× the $104 Medicare rate). OSF Saint Anthony's Health Center charges insurers about $109, or about $125 in cash — about the fair price. Located in Alton, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor	$111	107%
Aetnamajor	$64 - $110	62%
+ 1 smaller / regional plan	$109

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 125), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90853.

Insurance Before you use insurance

Call your insurance company to confirm OSF Saint Anthony's Health Center is in-network.
Ask your insurer whether prior approval is required for CPT code 90853.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at OSF Saint Anthony's Health Center

Compare: Group therapy session at other IL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.