Group therapy session
Facility: Trinity Health Oakland Hospital
Billing Code: 90853 (CPT)
This hospital's typical commercial price is $94 compared to the $83 fair price benchmark.
2-Star CMS clinical quality rating paired with 1.13× fair market pricing.
Highest price of the 9 MI hospitals we have prices for — worth calling around.
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 $83 (about 0.8× the $104 Medicare rate). Trinity Health Oakland Hospital charges insurers about $94, or about $120 in cash — about the fair price. Located in Pontiac, MI.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
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 | $139 | 134% |
| Blue Cross Blue Shieldmajor | $43 - $66 | 41% |
| Aetnamajor | $58 - $139 | 56% |
| Cignamajor | $137 | 132% |
| Humanamajor | $136 | 131% |
| Kaiser Permanentemajor | $66 | 64% |
| AmeriHealth | $136 | 131% |
| CareSource | $94 | 91% |
| Dean Health Plan | $126 | 121% |
| GEHA | $116 - $139 | 112% |
| Health Net | $185 | 178% |
| HealthPartners | $135 | 130% |
| MagnaCare | $136 | 131% |
| Medical Mutual | $116 | 112% |
| MVP Health Care | $126 | 121% |
| Paramount | $126 | 121% |
| Priority Health | $134 - $149 | 129% |
| Tufts Health Plan | $135 | 130% |
| UniCare | $136 | 131% |
| + 129 smaller / regional plans | $50 - $195 |
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.
Other Procedures at Trinity Health Oakland Hospital
Compare: Group therapy session at other MI hospitals
- University of Michigan Health System · Ann Arbor $19
- Oaklawn Hospital · Marshall $25
- Hurley Medical Center · Flint $27
- Mary Free Bed Rehabilitation Hospital · Grand Rapids $27
- Helen Newberry Joy Hospital · Newberry $28
- Charlevoix Area Hospital · Charlevoix $28
- Eaton Rapids Medical Center · Eaton Rapids $28
- McLaren Central Michigan · Mount Pleasant $29
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Trinity Health Oakland Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $67
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $67).
Self-Pay Cash Rate ($120) Beats Your Bill
Trinity Health Oakland Hospital's published 45 CFR § 180 self-pay cash rate is $120 (vs. $94 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $83 Fair BaseRate ($104 Medicare)
Your bill ($185) is $102 above the denoised Fair BaseRate ($83) and 1.8× the $104 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.