CMS Price Transparency Data
Group therapy session
Facility: Lima Memorial Health System
Billing Code: 90853 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$118
about 1.1× the $104 Medicare rate · typically $84–$165
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $118 Cash price $94 Hospital's list price $104
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 | $401 - $446 | 386% |
| Aetnamajor | $97 - $116 | 93% |
| CareSource | $170 | 164% |
| Devoted Health | $98 | 94% |
| + 1 smaller / regional plan | $165 |
Self-Pay How to get the cash price
Insurance Before you use insurance
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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
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Other Procedures at Lima Memorial Health System
Compare: Group therapy session at other OH hospitals
- Southern Ohio Medical Center · Portsmouth $26
- Fisher-Titus Hospital · Norwalk $30
- Mercy Medical Center · Canton $40
- Akron Children's Hospital · Akron $41
- Lindner Center of Hope · Mason $53
- Union Hospital · Dover $62
- Ashtabula County Medical Center · Ashtabula $65
- Cleveland Clinic · Cleveland $65
Insurance negotiated median for the same procedure, sorted lowest first.