CMS Price Transparency Data

Group therapy session

Facility: St James Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$107
about 1.0× the $104 Medicare rate · typically $85–$168
modeled estimate · not a bill or quote
What this hospital charges insurers
$94
Below the fair price — a good deal
about $13 under the fair price · 0.9× Medicare
Medicare pays $104 Fair price $107 This hospital $94

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

On the higher side — 4 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 $107 (about 1.0× the $104 Medicare rate). St James Hospital charges insurers about $94 — below the fair price — a good deal. Located in Butte, MT.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $94 91%
Blue Cross Blue Shieldmajor $72 69%
Humanamajor $95 92%
+ 2 smaller / regional plans $194 - $264

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Facility Profile & Credentials

  • Address: 400 S Clark St, Butte, MT 59701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals