CMS Price Transparency Data

Group therapy session

Facility: SSM Health St Anthony Hospital - Shawnee

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$101
about 1.0× the $104 Medicare rate · typically $80–$118
modeled estimate · not a bill or quote
What this hospital charges insurers
$101
About the fair price
1.0× Medicare
Medicare pays $104 Fair price $101 This hospital $101

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

Highest price of the 9 OK hospitals we have prices for — worth calling around.

Cheapest $25 Priciest $101

Black dot = this hospital, among the 9 OK 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). SSM Health St Anthony Hospital - Shawnee charges insurers about $101 — about the fair price. Located in Shawnee, OK.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $99 95%
Blue Cross Blue Shieldmajor $98 - $101 94%
Humanamajor $99 95%
Ambetter (Centene) $132 127%
Medica $38 37%
Oscar Health $129 124%
+ 2 smaller / regional plans $185 - $191

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Facility Profile & Credentials

  • Address: 1102 W Macarthur, Shawnee, OK 74801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals