CMS Price Transparency Data

Group therapy session

Facility: Charlevoix Area Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$45
about 0.4× the $104 Medicare rate · typically $26–$101
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
Below the fair price — a good deal
about $17 under the fair price · 0.3× Medicare
Medicare pays $104 Fair price $45 This hospital $28

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 $28

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 $45 (about 0.4× the $104 Medicare rate). Charlevoix Area Hospital charges insurers about $28 — below the fair price — a good deal. Located in Charlevoix, 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✓ Cigna HumanaKaiser 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 $16 - $72 15%
Blue Cross Blue Shieldmajor $16 - $72 15%
Aetnamajor $24 23%
Cignamajor $33 32%
Meridian $16 - $72 15%
Molina $24 23%
Priority Health $16 - $72 15%
+ 8 smaller / regional plans $16 - $153
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 14700 Lakeshore Drive, Charlevoix, MI 49720
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals