CMS Price Transparency Data
Group therapy session
Facility: Sparrow Ionia Hospital
Billing Code: 90853 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$73
about 0.7× the $104 Medicare rate · typically $31–$129
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $73 Cash price $25 Hospital's list price $77
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 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 | $82 | 79% |
| Blue Cross Blue Shieldmajor | $32 - $104 | 31% |
| Aetnamajor | $27 - $109 | 26% |
| Cignamajor | $85 | 82% |
| Humanamajor | $28 - $87 | 27% |
| Priority Health | $104 | 100% |
| + 8 smaller / regional plans | $27 - $95 |
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Insurance Before you use insurance
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Other Procedures at Sparrow Ionia 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.