CMS Price Transparency Data

Group therapy session

Facility: Wabash General Hospital 1

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$93

about 0.9× the $104 Medicare rate · typically $30–$232

modeled estimate · not a bill or quote

Medicare pays $104 Fair price $93 Cash price $130 Hospital's list price $130

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$58 - $204	56%
Blue Cross Blue Shieldmajor	$55 - $569	53%
Aetnamajor	$48 - $569	46%
Cignamajor	$55 - $140	53%
Health Net	$66 - $168	64%
HealthLink	$51 - $130	49%
Meridian	$569	548%
Molina	$569	548%
+ 5 smaller / regional plans	$55 - $208

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 130), 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 Wabash General Hospital 1 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 Wabash General Hospital 1

Compare: Group therapy session at other IL hospitals

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