CMS Price Transparency Data

Group therapy session

Facility: Mitchell County Hospital Health Systems

Billing Code: 90853 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$103

about 1.0× the $104 Medicare rate · typically $28–$233

modeled estimate · not a bill or quote

What this hospital charges insurers

$104

About the fair price

about $1 over the fair price · 1.0× Medicare

Medicare pays $104 Fair price $103 This hospital $104 Cash price $279 Hospital's list price $310

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

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

Cheapest $23 Priciest $104

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

A fair price for a Group therapy session is about $103 (about 1.0× the $104 Medicare rate). Mitchell County Hospital Health Systems charges insurers about $104, or about $279 in cash — about the fair price. Located in Beloit, KS.

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	$104 - $310	100%
Blue Cross Blue Shieldmajor	$30	29%
Aetnamajor	$279	269%
Cignamajor	$307	296%
HealthPartners	$307	296%
+ 3 smaller / regional plans	$279 - $294

Government programs also on file: Military & VA.

Excludes 2 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 279), 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 Mitchell County Hospital Health Systems 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 Mitchell County Hospital Health Systems

Compare: Group therapy session at other KS hospitals

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