CMS Price Transparency Data

Group therapy session

Facility: Ascension Providence Hospital, Southfield and Novi

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$76
about 0.7× the $104 Medicare rate · typically $37–$97
modeled estimate · not a bill or quote
What this hospital charges insurers
$93
Above the fair price
about $17 over the fair price · 0.9× Medicare
Medicare pays $104 Fair price $76 This hospital $93

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $19 Priciest $93

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

A fair price for a Group therapy session is about $76 (about 0.7× the $104 Medicare rate). Ascension Providence Hospital, Southfield and Novi charges insurers about $93 — above the fair price. Located in Southfield, MI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $76. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $53 51%
Blue Cross Blue Shieldmajor $13,613 - $53,198 13116%
Aetnamajor $91 88%
Humanamajor $92 89%
Ambetter (Centene) $113 109%
AmeriHealth $78 - $90 75%
Molina $37 - $113 36%
WellCare $95 92%
+ 13 smaller / regional plans $43 - $53,198
Government programs also on file: Medicaid, Military & VA.

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: 16001 W Nine Mile Rd, Southfield, MI 48075
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals