CMS Price Transparency Data

Group therapy session

Facility: St Lukes Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$86
about 0.8× the $104 Medicare rate · typically $52–$90
modeled estimate · not a bill or quote
What this hospital charges insurers
$51
Below the fair price — a good deal
about $35 under the fair price · 0.5× Medicare
Medicare pays $104 Fair price $86 This hospital $51 Cash price $49 Hospital's list price $90

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

A typical price — 5 charge more and 3 charge less, among the 9 MN hospitals compared.

Cheapest $26 Priciest $72

Black dot = this hospital, among the 9 MN hospitals with a price for this procedure. Full list below.

A fair price for a Group therapy session is about $86 (about 0.8× the $104 Medicare rate). St Lukes Hospital charges insurers about $51, or about $49 in cash — below the fair price — a good deal. Located in Duluth, MN.

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 $36 35%
Blue Cross Blue Shieldmajor $19 - $210 18%
Aetnamajor $108 104%
Humanamajor $110 106%
HealthPartners $24 - $107 23%
Medica $36 35%
Security Health Plan $1,473 1419%
UCare $25 24%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 915 East 1St Street, Duluth, MN 55805
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals