Group therapy session
Facility: Mercy Health Saint Mary's
Billing Code: 90853 (CPT)
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 $27 (about 0.3× the $104 Medicare rate). Mercy Health Saint Mary's charges insurers about $31 — about the fair price. Located in Grand Rapids, 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 | $20 - $123 | 19% |
| Blue Cross Blue Shieldmajor | $20 - $59 | 19% |
| Aetnamajor | $20 - $97 | 19% |
| Cignamajor | $20 - $90 | 19% |
| Humanamajor | $20 - $123 | 19% |
| Kaiser Permanentemajor | $59 | 57% |
| Ambetter (Centene) | $20 | 19% |
| AmeriHealth | $37 - $94 | 36% |
| CareSource | $80 | 77% |
| Clover Health | $22 - $29 | 21% |
| Dean Health Plan | $30 - $90 | 29% |
| GEHA | $31 - $93 | 30% |
| Health Net | $20 - $43 | 19% |
| HealthPartners | $20 - $40 | 19% |
| MagnaCare | $37 | 36% |
| Medical Mutual | $37 - $77 | 36% |
| Meridian | $20 - $29 | 19% |
| Molina | $20 - $40 | 19% |
| MVP Health Care | $30 - $90 | 29% |
| Oscar Health | $30 - $40 | 29% |
| Paramount | $20 - $90 | 19% |
| Presbyterian | $20 - $29 | 19% |
| Priority Health | $30 - $217 | 29% |
| Tufts Health Plan | $20 - $40 | 19% |
| UniCare | $37 - $94 | 36% |
| WellMed | $22 - $29 | 21% |
| WellSense | $20 | 19% |
| + 425 smaller / regional plans | $20 - $123 |
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 Mercy Health Saint Mary's
Compare: Group therapy session at other MI hospitals
- University of Michigan Health System · Ann Arbor $19
- Henry Ford Allegiance Health · Jackson $25
- Henry Ford Macomb Hospital · Clinton Township $26
- Hurley Medical Center · Flint $27
- Wyandotte Hospital and Medical Center · Wyandotte $27
- Mary Free Bed Rehabilitation Hospital · Grand Rapids $27
- Henry Ford Health West Bloomfield Hospital · W Bloomfield $28
- Charlevoix Area Hospital · Charlevoix $28
Insurance negotiated median for the same procedure, sorted lowest first.