CMS Price Transparency Data

Group therapy session

Facility: St Claire Regional Medical Center

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$73
about 0.7× the $104 Medicare rate · typically $24–$151
modeled estimate · not a bill or quote
What this hospital charges insurers
$30
Below the fair price — a good deal
about $43 under the fair price · 0.3× Medicare
Medicare pays $104 Fair price $73 This hospital $30 Cash price $86 Hospital's list price $115

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

One of the lower prices — 6 of 8 other KY hospitals charge more for the same procedure.

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 $73 (about 0.7× the $104 Medicare rate). St Claire Regional Medical Center charges insurers about $30, or about $86 in cash — below the fair price — a good deal. Located in Morehead, KY.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor $24 - $105 23%
Aetnamajor $19 - $149 18%
Humanamajor $24 - $105 23%
CareSource $24 - $137 23%
HealthLink $26 - $80 25%
WellCare $26 - $152 25%
+ 2 smaller / regional plans $20 - $150
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 222 Medical Circle, Morehead, KY 40351
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Federal
  • Hospital Type: Acute Care Hospitals