CMS Price Transparency Data

Group therapy session

Facility: Regional West Medical Center

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$58
about 0.6× the $104 Medicare rate · typically $33–$96
modeled estimate · not a bill or quote
What this hospital charges insurers
$48
Below the fair price — a good deal
about $10 under the fair price · 0.5× Medicare
Medicare pays $104 Fair price $58 This hospital $48

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

A typical price — 3 charge more and 5 charge less, among the 9 NE hospitals compared.

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 $58 (about 0.6× the $104 Medicare rate). Regional West Medical Center charges insurers about $48 — below the fair price — a good deal. Located in Scottsbluff, NE.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $54 52%
Blue Cross Blue Shieldmajor $45 43%
Aetnamajor $24 - $105 23%
Cignamajor $48 46%
Humanamajor $24 - $105 23%
Ambetter (Centene) $50 - $158 48%
Medica $24 - $111 23%
WellCare $25 - $111 24%
+ 2 smaller / regional plans $38 - $48
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 4021 Ave B, Scottsbluff, NE 69361
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals