CMS Price Transparency Data

Group therapy session

Facility: The Nebraska Methodist Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$94
about 0.9× the $104 Medicare rate · typically $52–$151
modeled estimate · not a bill or quote
What this hospital charges insurers
$52
Below the fair price — a good deal
about $42 under the fair price · 0.5× Medicare
Medicare pays $104 Fair price $94 This hospital $52 Cash price $31 Hospital's list price $87

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

On the higher side — 6 of 8 other NE hospitals charge less.

Cheapest $24 Priciest $56

Black dot = this hospital, among the 9 NE hospitals with a price for this procedure. Full list below.

A fair price for a Group therapy session is about $94 (about 0.9× the $104 Medicare rate). The Nebraska Methodist Hospital charges insurers about $52, or about $31 in cash — below the fair price — a good deal. Located in Omaha, NE.

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✓ Aetna CignaHumanaKaiser 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 $52 50%
Blue Cross Blue Shieldmajor $57 - $64 55%
Aetnamajor $52 - $60 50%
Ambetter (Centene) $61 59%
Medica $37 - $44 36%
+ 2 smaller / regional plans $52 - $56
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 8303 Dodge St, Omaha, NE 68114
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals