CMS Price Transparency Data
Group therapy session
Facility: San Juan Regional Medical Center Inc
Billing Code: 90853 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$109
about 1.0× the $104 Medicare rate · typically $61–$133
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $109 Cash price $99 Hospital's list price $198
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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 | $151 - $257 | 145% |
| Aetnamajor | $178 | 172% |
| Cignamajor | $154 | 148% |
| Humanamajor | $111 - $158 | 107% |
| Health Net | $158 | 152% |
| Presbyterian | $106 - $269 | 102% |
| + 7 smaller / regional plans | $129 - $863 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at San Juan Regional Medical Center Inc
Compare: Group therapy session at other NM hospitals
- UNM Hospital · Albuquerque $94
- Dr Dan C Trigg Memorial Hospital · Tucumcari $116
- Lincoln County Medical Center · Ruidoso $116
- Presbyterian Hospital · Albuquerque $176
- Peak Behavioral Health Services, LLC · Santa Teresa $200
Insurance negotiated median for the same procedure, sorted lowest first.