CMS Price Transparency Data

Group therapy session

Facility: Boston Children's Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$140
about 1.3× the $104 Medicare rate · typically $40–$216
modeled estimate · not a bill or quote
What this hospital charges insurers
$147
About the fair price
about $7 over the fair price · 1.4× Medicare
Medicare pays $104 Fair price $140 This hospital $147 Cash price $164 Hospital's list price $164

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

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

Cheapest $18 Priciest $147

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

A fair price for a Group therapy session is about $140 (about 1.3× the $104 Medicare rate). Boston Children's Hospital charges insurers about $147, or about $164 in cash — about the fair price. Located in Boston, MA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $98 - $139 94%
Blue Cross Blue Shieldmajor $92 - $108 89%
Aetnamajor $98 - $137 94%
Cignamajor $139 - $164 134%
Humanamajor $148 143%
Ambetter (Centene) $104 100%
CDPHP $80 - $139 77%
Harvard Pilgrim $83 - $111 80%
Tufts Health Plan $101 97%
+ 8 smaller / regional plans $100 - $148
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

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 300 Longwood Avenue, Boston, MA 02115
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens