CMS Price Transparency Data
Group therapy session
Facility: St Peters Health
Billing Code: 90853 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$88
about 0.8× the $104 Medicare rate · typically $57–$117
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $88 Cash price $68 Hospital's list price $80
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Humana UnitedHealthcareAetnaCignaKaiser 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 | $92 - $212 | 89% |
| Humanamajor | $94 | 91% |
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Other Procedures at St Peters Health
Compare: Group therapy session at other MT hospitals
- Central Montana Medical Center · Lewistown $38
- Sidney Health Center · Sidney $40
- Sheridan Memorial Hosptial · Plentywood $41
- Barrett Hospital & Healthcare · Dillon $42
- St James Hospital · Butte $94
- St. Patrick Hospital · Missoula $107
- Intermountain Health St Vincent Regional Hospital · Billings $155
Insurance negotiated median for the same procedure, sorted lowest first.