CMS Price Transparency Data

Group therapy session

Facility: Sanford Usd Medical Center

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$92
about 0.9× the $104 Medicare rate · typically $65–$94
modeled estimate · not a bill or quote
What this hospital charges insurers
$94
About the fair price
about $2 over the fair price · 0.9× Medicare
Medicare pays $104 Fair price $92 This hospital $94 Cash price $213 Hospital's list price $266

How we calculate the fair BaseRate →

How this hospital compares to other SD hospitals

A typical price — 2 charge more and 3 charge less, among the 6 SD hospitals compared.

Cheapest $27 Priciest $178

Black dot = this hospital, among the 6 SD hospitals with a price for this procedure. Full list below.

A fair price for a Group therapy session is about $92 (about 0.9× the $104 Medicare rate). Sanford Usd Medical Center charges insurers about $94, or about $213 in cash — about the fair price. Located in Sioux Falls, SD.

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✓ Aetna CignaHumanaKaiser 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 $95 - $234 92%
Blue Cross Blue Shieldmajor $40 - $112 39%
Aetnamajor $95 - $203 92%
Health Net $239 230%
HealthPartners $89 - $104 86%
Medica $179 - $192 172%
Sanford Health Plan $24 - $88 23%
Security Health Plan $146 141%
UCare $93 - $187 90%
+ 2 smaller / regional plans $93 - $239
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1305 W 18Th St Post Office Box 5039, Sioux Falls, SD 57117
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals