CMS Price Transparency Data

Group therapy session

Facility: St Charles Medical Center Prineville

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$142
about 1.4× the $104 Medicare rate · typically $54–$277
modeled estimate · not a bill or quote
What this hospital charges insurers
$272
Well above the fair price
about $130 over the fair price · 2.6× Medicare
Medicare pays $104 Fair price $142 This hospital $272 Cash price $276 Hospital's list price $345

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 $272

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 $142 (about 1.4× the $104 Medicare rate). St Charles Medical Center Prineville charges insurers about $272, or about $276 in cash — well above the fair price. Located in Prineville, OR.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $142. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

6 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 $96 92%
Blue Cross Blue Shieldmajor $106 - $272 102%
Aetnamajor $96 - $300 92%
Cignamajor $96 - $217 92%
Humanamajor $96 92%
Kaiser Permanentemajor $96 - $298 92%
Devoted Health $96 92%
Health Net $96 - $324 92%
Moda Health $296 285%
PacificSource $138 - $188 133%
Providence Health Plan $241 - $301 232%
UniCare $96 92%
WellCare $96 92%
+ 64 smaller / regional plans $96 - $344
Government programs also on file: Medicare, Medicaid, Military & VA.
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

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 384 Se Combs Flat Road, Prineville, OR 97754
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals