CMS Price Transparency Data

Group therapy session

Facility: Mercy Medical Center

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$90
about 0.9× the $104 Medicare rate · typically $35–$121
modeled estimate · not a bill or quote
What this hospital charges insurers
$40
Below the fair price — a good deal
about $50 under the fair price · 0.4× Medicare
Medicare pays $104 Fair price $90 This hospital $40 Cash price $120 Hospital's list price $184

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

One of the lower prices — 6 of 8 other OH hospitals charge more for the same procedure.

Cheapest $26 Priciest $66

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 $90 (about 0.9× the $104 Medicare rate). Mercy Medical Center charges insurers about $40, or about $120 in cash — below the fair price — a good deal. Located in Canton, 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 $24 - $93 23%
Blue Cross Blue Shieldmajor $24 - $118 23%
Aetnamajor $24 - $224 23%
Cignamajor $24 - $96 23%
Humanamajor $24 - $85 23%
AmeriHealth $31 - $103 30%
CareSource $29 - $96 28%
Molina $31 - $98 30%
Oscar Health $55 - $71 53%
UniCare $25 - $90 24%
+ 18 smaller / regional plans $16 - $184
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1320 Mercy Drive Nw, Canton, OH 44708
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals