CMS Price Transparency Data

Group therapy session

Facility: CHI Health Midlands

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$102
about 1.0× the $104 Medicare rate · typically $62–$154
modeled estimate · not a bill or quote
What this hospital charges insurers
$95
About the fair price
about $7 under the fair price · 0.9× Medicare
Medicare pays $104 Fair price $102 This hospital $95 Cash price $72 Hospital's list price $171

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

Highest price of the 9 NE hospitals we have prices for — worth calling around.

Cheapest $24 Priciest $95

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 $102 (about 1.0× the $104 Medicare rate). CHI Health Midlands charges insurers about $95, or about $72 in cash — about the fair price. Located in Papillion, 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✓ 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 $22 - $90 21%
Blue Cross Blue Shieldmajor $90 87%
Humanamajor $90 87%
Ambetter (Centene) $22 - $93 21%
Amerigroup $75 - $95 72%
Medica $41 - $142 40%
Molina $77 74%
+ 10 smaller / regional plans $35 - $568
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 11111 South 84Th St, Papillion, NE 68046
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals