CMS Price Transparency Data

Group therapy session

Facility: Borgess Medical Center

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$80
about 0.8× the $104 Medicare rate · typically $53–$91
modeled estimate · not a bill or quote
What this hospital charges insurers
$91
About the fair price
about $11 over the fair price · 0.9× Medicare
Medicare pays $104 Fair price $80 This hospital $91

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 $91

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 $80 (about 0.8× the $104 Medicare rate). Borgess Medical Center charges insurers about $91 — about the fair price. Located in Kalamazoo, MI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $52 - $91 50%
Blue Cross Blue Shieldmajor $91 88%
Aetnamajor $52 50%
Humanamajor $91 88%
Devoted Health $96 92%
Meridian $91 88%
Molina $52 - $91 50%
Priority Health $52 - $91 50%
+ 2 smaller / regional plans $52 - $137

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Facility Profile & Credentials

  • Address: 1521 Gull Road, Kalamazoo, MI 49048
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals