CMS Price Transparency Data

Group therapy session

Facility: St Josephs Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$99
about 1.0× the $104 Medicare rate · typically $52–$142
modeled estimate · not a bill or quote
What this hospital charges insurers
$109
About the fair price
about $10 over the fair price · 1.0× Medicare
Medicare pays $104 Fair price $99 This hospital $109 Cash price $130 Hospital's list price $181

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 $99 (about 1.0× the $104 Medicare rate). St Josephs Hospital charges insurers about $109, or about $130 in cash — about the fair price. Located in Breese, IL.

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 $109 - $181 105%
Blue Cross Blue Shieldmajor $109 105%
Aetnamajor $108 - $127 104%
Cignamajor $136 131%
Humanamajor $109 105%
HealthLink $150 145%
Meridian $181 174%
Molina $109 - $181 105%
+ 15 smaller / regional plans $51 - $272
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 9515 Holy Cross Ln, Breese, IL 62230
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals