CMS Price Transparency Data

Group therapy session

Facility: Saint Joseph London

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$85
about 0.8× the $104 Medicare rate · typically $49–$164
modeled estimate · not a bill or quote
What this hospital charges insurers
$84
About the fair price
about $1 under the fair price · 0.8× Medicare
Medicare pays $104 Fair price $85 This hospital $84 Cash price $34 Hospital's list price $95

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

On the higher side — 6 of 8 other KY hospitals charge less.

Cheapest $19 Priciest $91

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

A fair price for a Group therapy session is about $85 (about 0.8× the $104 Medicare rate). Saint Joseph London charges insurers about $84, or about $34 in cash — about the fair price. Located in London, KY.

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✓ Humana CignaKaiser 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 $20 - $85 19%
Blue Cross Blue Shieldmajor $21 - $84 20%
Aetnamajor $20 - $86 19%
Humanamajor $20 - $84 19%
CareSource $168 162%
Molina $14 - $88 13%
WellCare $16 - $84 15%
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: 1001 Saint Joseph Lane, London, KY 40741
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals