CMS Price Transparency Data

Group therapy session

Facility: University of Toledo Medical Center

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$85
about 0.8× the $104 Medicare rate · typically $64–$96
modeled estimate · not a bill or quote
What this hospital charges insurers
$88
About the fair price
about $3 over the fair price · 0.8× Medicare
Medicare pays $104 Fair price $85 This hospital $88 Cash price $125 Hospital's list price $209

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $26 Priciest $88

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

A fair price for a Group therapy session is about $85 (about 0.8× the $104 Medicare rate). University of Toledo Medical Center charges insurers about $88, or about $125 in cash — about the fair price. Located in Toledo, OH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $88 - $106 85%
Blue Cross Blue Shieldmajor $88 - $250 85%
Aetnamajor $24 - $113 23%
Cignamajor $102 98%
Humanamajor $88 85%
CareSource $88 - $97 85%
Devoted Health $88 85%
Medical Mutual $88 - $144 85%
Meridian $88 85%
Molina $93 - $97 90%
Paramount $49 - $97 47%
WellCare $88 85%
+ 11 smaller / regional plans $74 - $166
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3000 Arlington Avenue, Toledo, OH 43614
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals