CMS Price Transparency Data

Group therapy session

Facility: Lakeland Hospital, St Joseph

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$128
about 1.2× the $104 Medicare rate · typically $76–$133
modeled estimate · not a bill or quote
What this hospital charges insurers
$125
About the fair price
about $3 under the fair price · 1.2× Medicare
Medicare pays $104 Fair price $128 This hospital $125

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 $125

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 $128 (about 1.2× the $104 Medicare rate). Lakeland Hospital, St Joseph charges insurers about $125 — about the fair price. Located in St Joseph, MI.

What each insurance company pays

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

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

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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
Aetnamajor $101 97%
Ambetter (Centene) $152 146%
Priority Health $125 120%

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Facility Profile & Credentials

  • Address: 1234 Napier Avenue, St Joseph, MI 49085
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals