CMS Price Transparency Data

Group therapy session

Facility: Prov Sacred Hrt Med Ctr & Childs Hosp.

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$209
about 2.0× the $104 Medicare rate · typically $114–$210
modeled estimate · not a bill or quote
What this hospital charges insurers
$204
About the fair price
about $5 under the fair price · 2.0× Medicare
Medicare pays $104 Fair price $209 This hospital $204 Cash price $258 Hospital's list price $369

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

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

Cheapest $21 Priciest $204

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

A fair price for a Group therapy session is about $209 (about 2.0× the $104 Medicare rate). Prov Sacred Hrt Med Ctr & Childs Hosp. charges insurers about $204, or about $258 in cash — about the fair price. Located in Spokane, WA.

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✓ Kaiser Permanente Humana

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 $119 - $376 115%
Blue Cross Blue Shieldmajor $122 - $235 118%
Aetnamajor $117 - $118 113%
Cignamajor $136 131%
Kaiser Permanentemajor $113 - $285 109%
Molina $191 184%
Providence Health Plan $288 277%
+ 3 smaller / regional plans $125 - $283

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Facility Profile & Credentials

  • Address: 101 West 8Th Avenue, Spokane, WA 99220
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals