CMS Price Transparency Data

Group therapy session

Facility: SSM St Joseph Hospital West

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$91
about 0.9× the $104 Medicare rate · typically $43–$122
modeled estimate · not a bill or quote
What this hospital charges insurers
$75
Below the fair price — a good deal
about $16 under the fair price · 0.7× Medicare
Medicare pays $104 Fair price $91 This hospital $75 Cash price $179 Hospital's list price $325

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 $75

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 $91 (about 0.9× the $104 Medicare rate). SSM St Joseph Hospital West charges insurers about $75, or about $179 in cash — below the fair price — a good deal. Located in Lake Saint Louis, 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✓ 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 $103 99%
Blue Cross Blue Shieldmajor $26 - $146 25%
Aetnamajor $102 - $105 98%
Humanamajor $103 99%
Oscar Health $122 118%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 100 Medical Plaza, Lake Saint Louis, MO 63367
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals