CMS Price Transparency Data

Group therapy session

Facility: Ohio State University State Health System

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$101
about 1.0× the $104 Medicare rate · typically $66–$188
modeled estimate · not a bill or quote
What this hospital charges insurers
$115
About the fair price
about $14 over the fair price · 1.1× Medicare
Medicare pays $104 Fair price $101 This hospital $115 Hospital's list price $464

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 $115

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 $101 (about 1.0× the $104 Medicare rate). Ohio State University State Health System charges insurers about $115 — about the fair price. Located in Columbus, 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 $343 - $941 330%
Blue Cross Blue Shieldmajor $89 - $1,346 86%
Aetnamajor $89 - $1,156 86%
Cignamajor $185 - $1,038 178%
Humanamajor $90 87%
CareSource $93 - $137 90%
Molina $89 - $148 86%
+ 9 smaller / regional plans $88 - $1,078
Government programs also on file: Medicare.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 410 West 10Th Avenue, Columbus, OH 43210
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals