CMS Price Transparency Data

Group therapy session

Facility: Christus Ochsner Lake Area Hospital

Billing Code: 90853 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90853
  • Insurance Median: $84
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.81x Medicare
The contracted insurance negotiated median rate for a Group therapy session at Christus Ochsner Lake Area Hospital is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 0.81x the Medicare baseline. Located in 4200 Nelson Road, Lake Charles, LA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$84

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$103.79

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $103.79 (100%)
Insurance Median: $84 (81%)
Ins. Median: $84 (81% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $103.79 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Humana $71 - $84 68%
Triwest $82 79%
Aetna $84 81%
Arcadian $84 81%
Blue Cross Blue Shield $84 - $161 81%
Christus Health $84 - $118 81%
Coventry $84 81%
UnitedHealthcare $84 - $86 81%
Vantage Health Plan Inc $84 81%
Dignity Health $87 84%
Peoples Health $87 84%
Wellcare $88 85%
Allyalign Health $92 89%
Medicare (plans) $92 89%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4200 Nelson Road, Lake Charles, LA 70605
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals