CMS Price Transparency Data

Group therapy session

Facility: Saint Barnabas Behavioral Health Center

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$76
about 0.7× the $104 Medicare rate · typically $34–$226
modeled estimate · not a bill or quote
What this hospital charges insurers
$44
Below the fair price — a good deal
about $32 under the fair price · 0.4× Medicare
Medicare pays $104 Fair price $76 This hospital $44 Cash price $118 Hospital's list price $326

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

On the higher side — 7 of 8 other NJ hospitals charge less.

Cheapest $24 Priciest $54

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

A fair price for a Group therapy session is about $76 (about 0.7× the $104 Medicare rate). Saint Barnabas Behavioral Health Center charges insurers about $44, or about $118 in cash — below the fair price — a good deal. Located in Toms River, NJ.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor $147 - $186 142%
Aetnamajor $27 - $65 26%
Humanamajor $147 142%
AmeriHealth $32 31%
Clover Health $147 142%
Fidelis Care $56 54%
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: 1691 Highway 9 - Cn2025, Toms River, NJ 08755
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Psychiatric