CMS Price Transparency Data

Group therapy session

Facility: Dayton Childrens Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$107
about 1.0× the $104 Medicare rate · typically $87–$146
modeled estimate · not a bill or quote
What this hospital charges insurers
$99
About the fair price
about $8 under the fair price · 1.0× Medicare
Medicare pays $104 Fair price $107 This hospital $99 Cash price $235 Hospital's list price $336

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 $99

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 $107 (about 1.0× the $104 Medicare rate). Dayton Childrens Hospital charges insurers about $99, or about $235 in cash — about the fair price. Located in Dayton, OH.

What each insurance company pays

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

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

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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
Aetnamajor $99 95%
Ambetter (Centene) $99 95%
CareSource $149 144%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1 Childrens Plz, Dayton, OH 45404
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens