CMS Price Transparency Data

Group therapy session

Facility: Presence Saint Joseph Hospital - Chicago

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$107
about 1.0× the $104 Medicare rate · typically $67–$161
modeled estimate · not a bill or quote
What this hospital charges insurers
$104
About the fair price
about $3 under the fair price · 1.0× Medicare
Medicare pays $104 Fair price $107 This hospital $104 Cash price $96 Hospital's list price $291

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 $104

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 $107 (about 1.0× the $104 Medicare rate). Presence Saint Joseph Hospital - Chicago charges insurers about $104, or about $96 in cash — about the fair price. Located in Chicago, 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 $96 - $130 92%
Blue Cross Blue Shieldmajor $69 - $130 66%
Aetnamajor $96 - $145 92%
Cignamajor $77 - $267 74%
Humanamajor $80 - $106 77%
Ambetter (Centene) $156 150%
Bright Health $121 117%
+ 2 smaller / regional plans $135 - $195
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 2900 North Lake Shore Drive, Chicago, IL 60657
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals