CMS Price Transparency Data

Group therapy session

Facility: Chelsea Hospital

Billing Code: 90853 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90853
  • Insurance Median: $43
  • Cash Discount Price: $128
  • vs. Medicare Baseline: 0.41x Medicare
The contracted insurance negotiated median rate for a Group therapy session at Chelsea Hospital is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $128. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 0.41x the Medicare baseline. Located in 775 S Main St, Chelsea, MI.
Cash / Self-Pay
$128

Average discount available for prompt cash payment at this facility.

Insurance Median
$43

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$103.79

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $103.79 (100%)
Cash / Self-Pay: $128 (123%)
Insurance Median: $43 (41%)
Cash: $128 (123% of Medicare)
Ins. Median: $43 (41% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $103.79 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Albany County Correctional Facility $19 18%
Ambetter / Centene $19 18%
Amish Mennonite $19 18%
Ascension St. Vincent Public Safety Medical $19 18%
Bccp $19 18%
Blue Cross Blue Shield $19 - $78 18%
Bmc Healthnet $19 18%
Breast Grant-Connecticut $19 18%
Broward County Dept Of Health $19 18%
California Health And Wellness $19 18%
Cardinal Innovations Lme $19 18%
Care Connections Of Northern Iowa $19 18%
Care Oregon Ohp $19 18%
Cencal Health Plan $19 18%
Cenpatico $19 18%
Chhuny $19 18%
Childrens Comm Health Plan $19 18%
Childrens Medical Services Title 19 $19 18%
Cigna $19 - $147 18%
City Of Philadelphia $19 18%
Cmh Allegan County $19 18%
Cmh Ausable Valley $19 18%
Cmh Barry County $19 18%
Cmh Bay-Arenac County $19 18%
Cmh Berrien County $19 18%
Cmh Cass County $19 18%
Cmh Central Mi County $19 18%
Cmh Clinton-Eaton-Ingham County $19 18%
Cmh Detroit Wayne Integrated Health Network $19 - $209 18%
Cmh Genesee County $19 18%
Cmh Ionia County $19 18%
Cmh Jackson County/Lifeways $19 - $209 18%
Cmh Kalamazoo $19 18%
Cmh Kent County $19 18%
Cmh Lenawee County $19 - $209 18%
Cmh Livingston County $19 - $195 18%
Cmh Macomb $19 18%
Cmh Misc $19 - $209 18%
Cmh Monroe County $19 - $209 18%
Cmh Montcalm County $19 18%
Cmh Muskegon County $19 18%
Cmh Newaygo County $19 18%
Cmh North Country $19 18%
Cmh Northern Lakes County $19 18%
Cmh Oakland County $19 18%
Cmh Ottawa County $19 18%
Cmh Van Buren County $19 18%
Cmh Washtenaw County $19 - $209 18%
Cmh Wayne County/Carelink $19 18%
Cmh Wayne Cty/Com Liv Svcs $19 18%
Cmh West Mi County $19 18%
Community Benefit Health $19 18%
Community Care Behavorial Health $19 18%
Community Care Partners $19 18%
Community Health Choice $19 18%
Connections Csp $19 18%
County Coroner $19 18%
County Funding Generic $19 18%
Covid19 Hrsa Uninsured Testing And Treatment Fund $19 18%
Dean Wi Badgercare $19 18%
Delaware County Department Of Health $19 18%
Delaware First Health $19 18%
Delta Dental Nj $19 18%
Dph Tb Program $19 18%
Dscc $19 18%
Eastpointe Lme $19 18%
Family Health Network $19 18%
Freedom First Healthcare $19 18%
Fresno County Ccs $19 18%
Ghc Scw Wi Badgercare $19 18%
Harbor Health $19 18%
Health Safety Net $19 18%
Healthy Blue Ne $19 18%
Hennepin Health $19 18%
Humana $19 - $139 18%
Id County Ada $19 18%
Id County Canyon $19 18%
Id County Cat Fund $19 18%
Id County Other $19 18%
Id County Payette $19 18%
Idaho Dept Health And Wellfare $19 18%
Idaho Womens Health Check $19 18%
Indiana Breast Cervical Cancer $19 18%
Inland Empire Health Plan $19 18%
Intercommunity Health Ohp $19 18%
Iowa Total Care $19 18%
Jai Medical System $19 18%
Kern Family Health Plan $19 18%
Keystone First $19 18%
Keystone First Chip $19 18%
La Care Health Plan $19 18%
Lakeland Care Inc $19 18%
Managed Health Services - Indiana $19 18%
Maryland Breast & Cervical Program $19 18%
Maryland Healthy Smiles - Scion Dental $19 18%
Maryland Physicians Care $19 18%
Massachusetts Behavioral Health Partnership $19 18%
Mdwise $19 18%
Medi-Cal $19 18%
Medi-Cal Healthnet $19 18%
Medicaid / KanCare $19 - $61 18%
Medstar Dc Healthy Family $19 18%
Medstar Md Health Choice $19 18%
Mo Home State Health Plan $19 18%
Molina Centennial Care $19 18%
Nascentia Health Options $19 18%
Nebraska Total Care $19 18%
New York Cancer Services Program $19 18%
Nextlevel Health $19 18%
Oregon Screenwise $19 18%
Pace Of Southwest Michigan $19 - $30 18%
Paramount Advantage $19 18%
Parkland Community Health Plan $19 18%
Partners Behavioral Lme $19 18%
Peach State Healthplan $19 18%
Philadelphia County Funding $19 18%
Presbyterian Centennial Care $19 18%
Prestige Health Choice $19 18%
Priority Partners $19 18%
Robert F Sing Program $19 18%
Rx 340B Pass Along $19 18%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $19 18%
Rx Medi-Cal $19 18%
Rx Meridian Rx $19 18%
Ryan White Florida Mssrp $19 18%
Sandhills Center Lme $19 18%
Screening For Life $19 18%
St Joseph County Hlth Dpt $19 18%
Stephenson Cty Health $19 18%
Sunshine State Health Plan $19 18%
Superior Health $19 18%
Tenncare $19 18%
Texas Children'S Health Plan $19 18%
Trillium Community Ohp $19 18%
Tufts Health Public Plans $19 18%
UnitedHealthcare $19 - $140 18%
Vaya Health Lme $19 18%
Washtenaw Health Plan $19 18%
Wellsense Health Plan $19 18%
Wi Womens Wellness $19 18%
Aetna $20 - $115 19%
Champva $28 27%
Tricare $28 27%
Triwest Health Alliance $28 27%
Us Family Health Plan $28 27%
Veterans Eval Services $28 27%
Align Senior Care $30 29%
Ally Align Care Adv $30 29%
American Health Advantage Of Idaho $30 29%
American Health Plan $30 29%
Aurora Special Needs $30 29%
Blue Care Network Advantage $30 29%
Blue Shield - De (Highmark) Medciare Advantage $30 29%
Care Dimensions $30 29%
Care Improvement Plus $30 29%
Care Resources Pace $30 29%
Careplus Health Plans $30 29%
Cca Senior Care Options $30 29%
Central Valley Medical Services Corp Pace $30 29%
Champion Health Plan Mcr Advantage $30 29%
Clear Spring Health $30 29%
Clover Health $30 29%
Commonwealth Care Alliance $30 29%
Community Pace At Home $30 29%
Eddy Senior Care-Pace $30 29%
Eddy Seniorcare Pace $30 29%
Elementcare $30 29%
Evercare $30 29%
Everence $30 29%
Gateway Health Plan $30 29%
Genesys Pace Of Genesee County $30 29%
Georgia Health Advantage $30 29%
Gold Advantage $30 29%
Gpa Croell Redi Mix $30 29%
Health America Advantra $30 29%
Highmark Health Options Dual Plan $30 29%
Hope Select Pace $30 29%
Horizon Nj Total Care $30 29%
Hudson Headwaters Pace $30 29%
Huron Valley Pace $30 29%
Innovative Integrated Health Community Plans $30 29%
Iowa Health Advantage $30 29%
Johns Hopkins Advantage Md $30 29%
Lasso Healthcare Msa $30 29%
Life St Marys Pace $30 29%
Lifecircles Pace $30 29%
Longevity Health Plan $30 29%
Martins Point Generations Advantage $30 29%
Mass General Brigham Mcr Adv $30 29%
Medicare (plans) $30 - $31 29%
Medipak Advantage $30 29%
Mercy Life $30 29%
Mercyone Cedar Valley $30 29%
Meridian Complete $30 29%
Michigan Complete Health $30 29%
Nascentia Health Plus $30 29%
New Centry Health Careplus $30 29%
Osu Prime Care Advantage $30 29%
Pace Cny $30 29%
Pace Iowa Immanuel Pathways $30 29%
Pace Southeast $30 29%
Pace-Trinity Health $30 29%
Peak Pace Solutions $30 29%
Perennial Advantage $30 29%
Preferred Care Partners $30 29%
Presbyterian Senior Plan $30 29%
Provider Partners Health Plan Of Illinois $30 29%
Provider Partners Health Plan Of Indiana $30 29%
Pruitthealth Premier $30 29%
Reliance Community Care Partners Care Resources Pace $30 29%
Rx Allwin $30 29%
Rx Grane Grnmedd $30 29%
Rx Retiree Rx Care $30 29%
Scan Health Plan Mcr Ipa Meritage Oon $30 29%
Secure Horizons Ma Pffs $30 29%
Serenity Pace $30 29%
Siouxland Pace $30 29%
Solis Health Plans $30 29%
Sunnyview-Pace Finance Dept $30 29%
Texan Plus $30 29%
The Health Plan $30 - $37 29%
Thome Pace $30 29%
Todays Options $30 29%
Tribute Health Plans $30 29%
Um Health Advantage $30 29%
Union Health Service $30 29%
Veterans Administration $30 29%
Welbe Health $30 29%
Wellmed $30 29%
Blue Care Network $31 - $201 30%
Cca - Zing Health $33 32%
Longevity Ipa Of Michigan Llc Health Plan Isnp $34 33%
Mclaren Health $36 35%
Access Health $37 - $139 36%
Acclaim $37 - $139 36%
Administrative Concepts $37 - $139 36%
Allegeant $37 - $139 36%
Allied Benefit Systems $37 36%
Ameriben $37 - $139 36%
American Family $37 - $139 36%
American Healthcare Alliance $37 - $139 36%
American National $37 - $139 36%
American Republic $37 - $139 36%
Amerihealth $37 - $139 36%
Aultcare $37 - $139 36%
Automated Benefit Services $37 - $139 36%
Auxiant $37 - $139 36%
Benefit Administrative Systems,Llc $37 - $139 36%
Blue Benefit Administrators Of Massachusetts $37 - $78 36%
Blue Distinction Transplant $37 - $78 36%
Blue Shield - Ca $37 - $78 36%
Blue Shield - Id (Regence) $37 - $78 36%
Blue Shield - Ny Highmark Northeastern $37 - $78 36%
Blue Shield - Ny Highmark Western $37 - $78 36%
Blue Shield - Pa (Highmark) $37 - $78 36%
Blue Shield - Wa (Regence) $37 - $78 36%
Boon Chapman $37 - $139 36%
Cam Administrative Services $37 - $139 36%
Christian Brother Services $37 - $139 36%
Christian Brothers Holy Cross $37 - $139 36%
Claimchoice Adminstrators $37 36%
Comprehensive Benefits $37 - $139 36%
Consociate $37 36%
Continental Life Insurance $37 - $139 36%
Coventry $37 - $143 36%
Custom Benefit Administrators $37 - $139 36%
Cypress Benefit Administrators $37 36%
Employee Benefit Concepts $37 - $139 36%
Employee Benefit Management $37 - $139 36%
Enterprise Group Planning $37 - $139 36%
First Health $37 - $143 36%
Forest County Potawatomi $37 36%
Freedom Life Insurance Company $37 - $139 36%
Group Administrators $37 - $139 36%
Group Marketing Services $37 - $139 36%
Group Pension Administrators $37 - $157 36%
Guardian $37 - $139 36%
Health America $37 - $139 36%
Health Choices $37 - $139 36%
Health Smart $37 36%
Healthcare Management Admin $37 - $139 36%
Healthez $37 - $139 36%
Healthgram $37 36%
Healthscope $37 36%
Insight $37 - $139 36%
Intercare $37 - $139 36%
Jfp Benefit Management $37 - $139 36%
Jp Farley Corporation $37 - $139 36%
Key Benefit Administrator $37 - $139 36%
Liberty Union Life Assurance Co $37 - $139 36%
Lucent Health $37 - $139 36%
Luminare Health $37 - $139 36%
Luminare Health (Detroit) $37 - $139 36%
Magnacare $37 - $139 36%
Medben $37 - $139 36%
Medcost $37 - $139 36%
Medical Mutual $37 - $139 36%
Mutual Health Services $37 - $139 36%
Mutual Of Omaha $37 - $139 36%
Ncas $37 - $139 36%
Nippon Life Ins $37 - $139 36%
Nova $37 - $139 36%
Painters Union Insurance Fund $37 - $139 36%
Physicians Mutual $37 - $139 36%
Plumbers Local 98 Insurance Fund $37 - $139 36%
Prairie States $37 - $139 36%
Preferred One $37 - $139 36%
Primary Physician Care $37 - $139 36%
Professional Benefit Administrators $37 - $139 36%
Secureone Preferred United Plans $37 36%
Siho Insurance Services $37 - $139 36%
Sisco Benefits $37 - $139 36%
The Loomis Company $37 - $139 36%
Trustmark Small Business Benefits $37 36%
Unicare $37 - $139 36%
Unified Group Services $37 36%
Us Health And Life $37 - $139 36%
Valenz $37 - $139 36%
Webtpa $37 36%
Western & Southern Financial Group $37 - $139 36%
Wps $37 - $139 36%
Oscar $38 37%
U Of M Health Plan $38 - $50 37%
Meritain $39 - $115 38%
Asr Health Benefits $40 - $102 39%
Hap $40 - $162 39%
Varipro $40 - $102 39%
1199 National Benefit Fund $41 - $157 40%
Allied National Global Care $41 - $157 40%
Asrm - Reliance Standard Life Insurance $41 - $157 40%
Christian Care Ministry $41 - $157 40%
Dean Health $41 - $157 40%
Fallon Health $41 - $157 40%
Family Life Insurance Company $41 - $157 40%
International Benefit Administrators $41 - $157 40%
Lifetime Benefit Solutions $41 - $157 40%
Manhattan Life $41 - $157 40%
Molina Marketplace $41 40%
Multiplan $41 - $157 40%
Mvp $41 - $157 40%
Pai $41 - $157 40%
Pan-American Life $41 - $157 40%
Phcs $41 - $157 40%
Trinity Health Share $41 - $157 40%
Wc Accident Fund $41 - $55 40%
Wc Advantage $41 - $55 40%
Wc Aig $41 - $55 40%
Wc Allied $41 - $55 40%
Wc Amerisure $41 - $55 40%
Wc Amtrust $41 - $55 40%
Wc Asu Risk Mgt $41 - $55 40%
Wc Berkley Admin $41 - $55 40%
Wc Broadspire $41 - $55 40%
Wc Bunch & Associates $41 - $55 40%
Wc Ccmsi $41 - $55 40%
Wc Emc Insurance Company $41 - $55 40%
Wc Esis $41 - $55 40%
Wc Fcci $41 - $55 40%
Wc Federated $41 - $55 40%
Wc Gallagher Bassett $41 - $55 40%
Wc Genex Care For Ohio $41 - $55 40%
Wc Guard Insurance Company $41 - $55 40%
Wc Hartford $41 - $55 40%
Wc Liberty Mutual $41 - $55 40%
Wc Meijers $41 - $55 40%
Wc Michigan $41 - $55 40%
Wc Mitchell Frankenmuth $41 - $55 40%
Wc Pma $41 - $55 40%
Wc Sedgwick $41 - $55 40%
Wc Sentry $41 - $55 40%
Wc Travelers $41 - $55 40%
Wc Tristar $41 - $55 40%
Wc Walmart $41 - $55 40%
Wc Zurich $41 - $55 40%
Wellpath $41 40%
Andrie Inc $43 41%
East Greenbush Central School District $43 41%
Genex Wc $43 41%
Healthsmart Workers Comp $43 41%
Jag Source $43 41%
New York State Insurance Fund $43 41%
Njm Insurance Group $43 41%
Rx Heatlhcomp $43 41%
Rx Restat $43 41%
Rx Saif Opdp Wc $43 41%
Rx Worker'S Comp $43 41%
Wc Ace $43 41%
Wc Acs Federal Employees $43 41%
Wc Acuity $43 41%
Wc Aegis $43 41%
Wc Aims $43 41%
Wc Alaska National Ins $43 41%
Wc Align Network $43 41%
Wc Am Trust N America $43 41%
Wc American Claims Mgmt $43 41%
Wc Benetech $43 41%
Wc Broward County $43 41%
Wc California State Comp Ins $43 41%
Wc California State Ins Fund $43 41%
Wc Capitol Area Health Consortium $43 41%
Wc Chartis $43 41%
Wc Chubb $43 41%
Wc Cirma $43 41%
Wc City Of Albany $43 41%
Wc City Of Sioux City $43 41%
Wc Claims Mgmt Inc $43 41%
Wc Cna $43 41%
Wc Comp One Admin C/O Manageability $43 41%
Wc Compone Admin $43 41%
Wc Corvel $43 41%
Wc Ct Healthcare Trust $43 41%
Wc Donegal Insurance Group $43 41%
Wc Employee Mutual $43 41%
Wc Enablecomp $43 41%
Wc Encore Health Network $43 41%
Wc Erie $43 41%
Wc Evolutions $43 41%
Wc Fed Ex $43 41%
Wc Federal Black Lung $43 41%
Wc Finley Occupational Health $43 41%
Wc First Agency/Occunet $43 41%
Wc Ford Motor $43 41%
Wc Fresno Unified Emp $43 41%
Wc General Motors $43 41%
Wc Generic $43 41%
Wc Great West Casualty $43 41%
Wc Guarantee Insurance $43 41%
Wc Hab $43 41%
Wc Hastings $43 41%
Wc Health Management $43 41%
Wc Heritage Summit $43 41%
Wc Hireright $43 41%
Wc Horizon $43 41%
Wc Icw Group $43 41%
Wc Idaho State Ins Fund $43 41%
Wc Intercare Insurance $43 41%
Wc Intermountain $43 41%
Wc Johns Eastern $43 41%
Wc Kemberton $43 41%
Wc Key Ins & Benefit Solutions $43 41%
Wc Mac Risk Management $43 41%
Wc Massachusetts $43 41%
Wc Mdia $43 41%
Wc Meadowbrook Claim $43 41%
Wc Medical Administrators $43 41%
Wc Memic $43 41%
Wc Mercy Workcare $43 41%
Wc Michigan Millers Mutual $43 41%
Wc Mra $43 41%
Wc Nationwide $43 41%
Wc Nca Comp $43 41%
Wc New York $43 41%
Wc New York Special Funds $43 41%
Wc North American Rishces $43 41%
Wc Northeast Health $43 41%
Wc Notre Dame $43 41%
Wc Novanet $43 41%
Wc O'Hara Corp $43 41%
Wc Occ Health Allen $43 41%
Wc Ohio Bureau $43 41%
Wc One Call Medical $43 41%
Wc Paradigm $43 41%
Wc Peerless $43 41%
Wc Praxis Health Network $43 41%
Wc Price Chopper $43 41%
Wc Procura Management $43 41%
Wc Qualcare $43 41%
Wc Quiktrip $43 41%
Wc Reny Company $43 41%
Wc Rev Claims $43 41%
Wc Risico $43 41%
Wc Rural Mutual $43 41%
Wc Saif Oregon $43 41%
Wc Secura $43 41%
Wc Sheakley Unicomp $43 41%
Wc Smile Lodge $43 41%
Wc Society $43 41%
Wc Srs $43 41%
Wc Taconic (Mro) $43 41%
Wc Taconic Farms $43 41%
Wc Triad Group $43 41%
Wc Troy Ny $43 41%
Wc Tyson $43 41%
Wc Unified Health Services $43 41%
Wc United Heartland $43 41%
Wc Us Dept Of Labor $43 41%
Wc Velocity $43 41%
Wc West Bend $43 41%
Wc West Bend Mutual/Argent $43 41%
Wc Winnebago Industries $43 41%
Wc Yankee Trails $43 41%
Wc York Risk $43 41%
Wc Zenith $43 41%
American Postal Workers Secondary $44 42%
Partners Direct Health - Brio $44 42%
Claimdoc $47 45%
Kent County Jail $47 45%
Muskegon County Jail $47 45%
Priority Health $50 - $166 48%
Health Partners $53 - $162 51%
Tufts Health Plan $53 - $162 51%
Bcccp-Michigan $61 59%
Kaiser Domestic $69 - $78 66%
Caresource $102 98%
Geha $102 - $140 98%
Hospice Of Michigan $130 - $146 125%
Ghc Scw $139 - $157 134%
Medi Share $139 - $157 134%
Paramount Hmo $139 - $157 134%
Prime Health Services $148 - $167 143%
Three Rivers Provider Network $166 - $188 160%
Magellan Behavioral Health $185 - $209 178%
Bcn Domestic $201 194%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 775 S Main St, Chelsea, MI 48118
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals