CMS Price Transparency Data
Group therapy session
Facility: Trinity Health Muskegon Hospital
Billing Code: 90853 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$100
about 1.0× the $104 Medicare rate · typically $33–$133
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $100 Cash price $55 Hospital's list price $84
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 | $74 | 71% |
| Blue Cross Blue Shieldmajor | $41 | 40% |
| Aetnamajor | $35 - $57 | 34% |
| Cignamajor | $53 | 51% |
| Humanamajor | $66 | 64% |
| Kaiser Permanentemajor | $41 | 40% |
| AmeriHealth | $66 | 64% |
| CareSource | $53 | 51% |
| Dean Health Plan | $63 | 61% |
| GEHA | $57 - $74 | 55% |
| Medical Mutual | $66 | 64% |
| MVP Health Care | $63 | 61% |
| Paramount | $63 | 61% |
| Priority Health | $99 - $111 | 95% |
| UniCare | $66 | 64% |
| + 132 smaller / regional plans | $41 - $84 |
Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Trinity Health Muskegon Hospital
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.