CMS Price Transparency Data

Group therapy session

Facility: Elkhart General Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$87
about 0.8× the $104 Medicare rate · typically $52–$184
modeled estimate · not a bill or quote
What this hospital charges insurers
$97
About the fair price
about $10 over the fair price · 0.9× Medicare
Medicare pays $104 Fair price $87 This hospital $97 Cash price $98 Hospital's list price $151

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $20 Priciest $97

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

A fair price for a Group therapy session is about $87 (about 0.8× the $104 Medicare rate). Elkhart General Hospital charges insurers about $97, or about $98 in cash — about the fair price. Located in Elkhart, IN.

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 $52 - $101 50%
Blue Cross Blue Shieldmajor $32 - $289 31%
Aetnamajor $68 - $102 66%
Cignamajor $109 - $115 105%
Humanamajor $97 - $106 93%
CareSource $155 - $196 149%
Devoted Health $30 - $102 29%
+ 9 smaller / regional plans $52 - $196
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 600 E Blvd, Elkhart, IN 46514
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals