CMS Price Transparency Data

Group therapy session

Facility: Cox Medical Centers

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$89
about 0.9× the $104 Medicare rate · typically $42–$150
modeled estimate · not a bill or quote
What this hospital charges insurers
$101
About the fair price
about $12 over the fair price · 1.0× Medicare
Medicare pays $104 Fair price $89 This hospital $101 Cash price $51 Hospital's list price $201

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 $101

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 $89 (about 0.9× the $104 Medicare rate). Cox Medical Centers charges insurers about $101, or about $51 in cash — about the fair price. Located in Springfield, MO.

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✓ Cigna✓ Humana AetnaKaiser 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 - $108 97%
Blue Cross Blue Shieldmajor $103 99%
Cignamajor $299 288%
Humanamajor $101 - $230 97%
Devoted Health $108 104%
Health Net $101 97%
+ 26 smaller / regional plans $71 - $380

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 3801 South National Avenue, Springfield, MO 65807
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals