CMS Price Transparency Data

Group therapy session

Facility: UNM Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$89
about 0.9× the $104 Medicare rate · typically $58–$116
modeled estimate · not a bill or quote
What this hospital charges insurers
$94
About the fair price
about $5 over the fair price · 0.9× Medicare
Medicare pays $104 Fair price $89 This hospital $94 Cash price $98 Hospital's list price $178

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

Lowest price of the 5 NM hospitals we have prices for — a strong deal.

Cheapest $94 Priciest $200

Black dot = this hospital, among the 5 NM hospitals with a price for this procedure. Full list below.

A fair price for a Group therapy session is about $89 (about 0.9× the $104 Medicare rate). UNM Hospital charges insurers about $94, or about $98 in cash — about the fair price. Located in Albuquerque, NM.

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✓ Humana CignaKaiser 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 $40 - $100 39%
Blue Cross Blue Shieldmajor $29 - $100 28%
Aetnamajor $40 - $100 39%
Humanamajor $36 - $90 35%
Devoted Health $48 - $120 46%
Molina $98 - $245 94%
Presbyterian $80 - $200 77%
+ 10 smaller / regional plans $40 - $245

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Facility Profile & Credentials

  • Address: 2211 Lomas Boulevard Ne, Albuquerque, NM 87106
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals