CMS Price Transparency Data

Group therapy session

Facility: The Miriam Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$151
about 1.5× the $104 Medicare rate · typically $58–$172
modeled estimate · not a bill or quote
What this hospital charges insurers
$145
About the fair price
about $6 under the fair price · 1.4× Medicare
Medicare pays $104 Fair price $151 This hospital $145 Cash price $207 Hospital's list price $207

How we calculate the fair BaseRate →

How this hospital compares to other RI hospitals

Highest price of the 4 RI hospitals we have prices for — worth calling around.

Cheapest $114 Priciest $145

Black dot = this hospital, among the 4 RI hospitals with a price for this procedure. Full list below.

A fair price for a Group therapy session is about $151 (about 1.5× the $104 Medicare rate). The Miriam Hospital charges insurers about $145, or about $207 in cash — about the fair price. Located in Providence, RI.

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✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $82 - $192 79%
Aetnamajor $117 113%
Cignamajor $641 618%
Tufts Health Plan $59 57%
+ 1 smaller / regional plan $209

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Facility Profile & Credentials

  • Address: 164 Summit Avenue, Providence, RI 02906
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals