CMS Price Transparency Data
Group therapy session
Facility: Citizens Memorial 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 $41–$116
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $86 Cash price $65 Hospital's list price $81
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 | $108 | 104% |
| Blue Cross Blue Shieldmajor | $110 | 106% |
| Aetnamajor | $108 | 104% |
| Humanamajor | $108 | 104% |
| Ambetter (Centene) | $148 | 143% |
| Health Net | $108 | 104% |
| WellCare | $112 | 108% |
| + 3 smaller / regional plans | $108 - $114 |
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Other Procedures at Citizens Memorial Hospital
Compare: Group therapy session at other MO hospitals
- Mercy Hospital Springfield · Springfield $25
- Harrison County Community Hospital · Bethany $27
- Fitzgibbon Hospital · Marshall $29
- Putnam County Memorial Hospital · Unionville $32
- Mosaic Life Care at St Joseph · Saint Joseph $43
- Long Term Acute Care Hospital Mosaic Life Care at St Joseph · Saint Joseph $43
- The Children's Mercy Hospital · Kansas City $50
- SSM Health Saint Louis University Hospital · Saint Louis $65
Insurance negotiated median for the same procedure, sorted lowest first.