CMS Price Transparency Data

Group therapy session

Facility: Sidney Health Center

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$54
about 0.5× the $104 Medicare rate · typically $27–$174
modeled estimate · not a bill or quote
What this hospital charges insurers
$40
Below the fair price — a good deal
about $14 under the fair price · 0.4× Medicare
Medicare pays $104 Fair price $54 This hospital $40 Cash price $72 Hospital's list price $116

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

One of the lower prices — 5 of 6 other MT hospitals charge more for the same procedure.

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 $54 (about 0.5× the $104 Medicare rate). Sidney Health Center charges insurers about $40, or about $72 in cash — below the fair price — a good deal. Located in Sidney, MT.

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✓ Cigna HumanaKaiser 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 $23 - $110 22%
Blue Cross Blue Shieldmajor $40 - $116 39%
Aetnamajor $38 - $110 37%
Cignamajor $40 - $110 39%
Sanford Health Plan $43 - $110 41%
+ 4 smaller / regional plans $40 - $113

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 216 14Th Ave Sw, Sidney, MT 59270
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals