CMS Price Transparency Data

Group therapy session

Facility: Lutheran Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$85
about 0.8× the $104 Medicare rate · typically $52–$112
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 $120 Hospital's list price $184

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). Lutheran Hospital charges insurers about $88, or about $120 in cash — about the fair price. Located in Cleveland, 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 $86 - $114 83%
Blue Cross Blue Shieldmajor $86 - $147 83%
Aetnamajor $86 - $184 83%
Cignamajor $36 - $96 35%
Humanamajor $86 - $156 83%
AmeriHealth $104 100%
CareSource $101 97%
Devoted Health $86 83%
Molina $99 95%
Oscar Health $55 - $71 53%
Paramount $97 93%
UniCare $90 87%
UPMC Health Plan $86 - $110 83%
+ 19 smaller / regional plans $68 - $166
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: 1730 West 25Th Street, Cleveland, OH 44113
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals