CMS Price Transparency Data

Group therapy session

Facility: SSM Health St. Mary's Hospital - Jefferson City

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$95
about 0.9× the $104 Medicare rate · typically $68–$158
modeled estimate · not a bill or quote
What this hospital charges insurers
$95
About the fair price
0.9× Medicare
Medicare pays $104 Fair price $95 This hospital $95 Cash price $194 Hospital's list price $353

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

Highest price of the 9 MO hospitals we have prices for — worth calling around.

Cheapest $25 Priciest $95

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

A fair price for a Group therapy session is about $95 (about 0.9× the $104 Medicare rate). SSM Health St. Mary's Hospital - Jefferson City charges insurers about $95, or about $194 in cash — about the fair price. Located in Jefferson City, MO.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $101 97%
Blue Cross Blue Shieldmajor $46 - $108 44%
Humanamajor $103 99%
Ambetter (Centene) $102 98%
+ 4 smaller / regional plans $107 - $183

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Facility Profile & Credentials

  • Address: 2505 Mission Drive, Jefferson City, MO 65109
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals