CMS Price Transparency Data

Group therapy session

Facility: SSM Health Saint Louis University Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$89
about 0.9× the $104 Medicare rate · typically $41–$119
modeled estimate · not a bill or quote
What this hospital charges insurers
$65
Below the fair price — a good deal
about $24 under the fair price · 0.6× Medicare
Medicare pays $104 Fair price $89 This hospital $65

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

On the higher side — 7 of 8 other MO hospitals charge less.

Cheapest $25 Priciest $68

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). SSM Health Saint Louis University Hospital charges insurers about $65 — below the fair price — a good deal. Located in Saint Louis, 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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor $30 - $105 29%
Aetnamajor $102 - $104 98%
Humanamajor $103 99%
Ambetter (Centene) $103 99%
Oscar Health $122 118%
+ 1 smaller / regional plan $105

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Facility Profile & Credentials

  • Address: 1201 S Grand Blvd, Saint Louis, MO 63104
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals