CMS Price Transparency Data

Group therapy session

Facility: Indiana University Health White Memorial Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$185
about 1.8× the $104 Medicare rate · typically $85–$225
modeled estimate · not a bill or quote
What this hospital charges insurers
$202
About the fair price
about $17 over the fair price · 1.9× Medicare
Medicare pays $104 Fair price $185 This hospital $202 Cash price $81 Hospital's list price $260

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 $202

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 $185 (about 1.8× the $104 Medicare rate). Indiana University Health White Memorial Hospital charges insurers about $202, or about $81 in cash — about the fair price. Located in Monticello, IN.

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 $80 - $509 77%
Blue Cross Blue Shieldmajor $80 - $509 77%
Aetnamajor $151 - $202 145%
Cignamajor $164 - $202 158%
CareSource $80 - $509 77%
Health Net $135 - $202 130%
+ 9 smaller / regional plans $80 - $509
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 720 South Sixth St, Monticello, IN 47960
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals