CMS Price Transparency Data

Group therapy session

Facility: Trinity Health Oakland Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$77
about 0.7× the $104 Medicare rate · typically $28–$102
modeled estimate · not a bill or quote
What this hospital charges insurers
$94
Above the fair price
about $17 over the fair price · 0.9× Medicare
Medicare pays $104 Fair price $77 This hospital $94 Cash price $120 Hospital's list price $185

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 $94

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 $77 (about 0.7× the $104 Medicare rate). Trinity Health Oakland Hospital charges insurers about $94, or about $120 in cash — above the fair price. Located in Pontiac, 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 $77. 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.

6 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 $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
Excludes 10 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: 44405 Woodward Ave, Pontiac, MI 48341
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals