CMS Price Transparency Data

Group therapy session

Facility: Legacy Emanuel Medical Center

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$124
about 1.2× the $104 Medicare rate · typically $99–$142
modeled estimate · not a bill or quote
What this hospital charges insurers
$125
About the fair price
about $1 over the fair price · 1.2× Medicare
Medicare pays $104 Fair price $124 This hospital $125 Cash price $121 Hospital's list price $186

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

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

Cheapest $29 Priciest $125

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

A fair price for a Group therapy session is about $124 (about 1.2× the $104 Medicare rate). Legacy Emanuel Medical Center charges insurers about $125, or about $121 in cash — about the fair price. Located in Portland, OR.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Kaiser Permanente UnitedHealthcareCignaHumana

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
Blue Cross Blue Shieldmajor $221 - $324 213%
Aetnamajor $119 115%
Kaiser Permanentemajor $113 - $226 109%
Health Net $120 116%
Moda Health $126 - $437 121%
+ 3 smaller / regional plans $116 - $124

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 2801 N Gantenbein Avenue, Portland, OR 97227
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals