CMS Price Transparency Data

Group therapy session

Facility: Rainbow Babies and Childrens Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$81
about 0.8× the $104 Medicare rate · typically $36–$129
modeled estimate · not a bill or quote
What this hospital charges insurers
$86
About the fair price
about $5 over the fair price · 0.8× Medicare
Medicare pays $104 Fair price $81 This hospital $86 Cash price $291 Hospital's list price $388

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 $86

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Group therapy session is about $81 (about 0.8× the $104 Medicare rate). Rainbow Babies and Childrens Hospital charges insurers about $86, or about $291 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 - $379 83%
Blue Cross Blue Shieldmajor $86 - $351 83%
Aetnamajor $86 - $429 83%
Cignamajor $86 - $348 83%
Humanamajor $86 83%
Ambetter (Centene) $184 - $302 177%
CareSource $178 - $292 172%
Devoted Health $86 83%
Health Net $280 - $459 270%
Medical Mutual $86 - $428 83%
Molina $86 83%
Paramount $88 85%
WellCare $86 83%
+ 21 smaller / regional plans $86 - $486
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 11100 Euclid Avenue, Cleveland, OH 44106
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens