CMS Price Transparency Data

Group therapy session

Facility: St Jude Childrens Research Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$74
about 0.7× the $104 Medicare rate · typically $37–$107
modeled estimate · not a bill or quote
What this hospital charges insurers
$52
Below the fair price — a good deal
about $22 under the fair price · 0.5× Medicare
Medicare pays $104 Fair price $74 This hospital $52 Hospital's list price $261

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

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

Cheapest $23 Priciest $52

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

A fair price for a Group therapy session is about $74 (about 0.7× the $104 Medicare rate). St Jude Childrens Research Hospital charges insurers about $52 — below the fair price — a good deal. Located in Memphis, TN.

What each insurance company pays

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

5 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 $30 - $188 29%
Blue Cross Blue Shieldmajor $25 24%
Aetnamajor $196 189%
Cignamajor $235 226%
Humanamajor $170 164%
Molina $96 92%
+ 11 smaller / regional plans $40 - $235
Government programs also on file: Medicaid, Military & VA.
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: 262 Danny Thomas Place, Memphis, TN 38105
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens