CMS Price Transparency Data

Group therapy session

Facility: St. Patrick Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$96
about 0.9× the $104 Medicare rate · typically $71–$115
modeled estimate · not a bill or quote
What this hospital charges insurers
$107
About the fair price
about $11 over the fair price · 1.0× Medicare
Medicare pays $104 Fair price $96 This hospital $107 Cash price $229 Hospital's list price $286

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

On the higher side — 5 of 6 other MT hospitals charge less.

Cheapest $38 Priciest $155

Black dot = this hospital, among the 7 MT hospitals with a price for this procedure. Full list below.

A fair price for a Group therapy session is about $96 (about 0.9× the $104 Medicare rate). St. Patrick Hospital charges insurers about $107, or about $229 in cash — about the fair price. Located in Missoula, MT.

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 $105 101%
Humanamajor $106 102%
PacificSource $107 103%
+ 2 smaller / regional plans $208 - $248

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 500 W Broadway, Missoula, MT 59802
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals