CMS Price Transparency Data
Group therapy session
Facility: Legacy Salmon Creek Medical Center
Billing Code: 90853 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$129
about 1.2× the $104 Medicare rate · typically $102–$154
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $129 Cash price $53 Hospital's list price $81
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente UnitedHealthcareHumana
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 | $221 - $324 | 213% |
| Aetnamajor | $119 | 115% |
| Cignamajor | $125 | 120% |
| Kaiser Permanentemajor | $226 | 218% |
| Health Net | $120 | 116% |
| Moda Health | $127 | 122% |
| PacificSource | $122 | 118% |
| + 1 smaller / regional plan | $117 |
Self-Pay How to get the cash price
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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
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Other Procedures at Legacy Salmon Creek Medical Center
Compare: Group therapy session at other WA hospitals
- Lake Chelan Community Hospital · Chelan $21
- Forks Community Hospital · Forks $28
- Island Hospital · Anacortes $40
- Cascade Medical Center · Leavenworth $74
- Virginia Mason Medical Center · Seattle $86
- Providence St Lukes Rehabilitation Medical Center · Spokane $121
- Providence St Mary Medical Center · Walla Walla $125
- Kadlec Regional Medical Center · Richland $136
Insurance negotiated median for the same procedure, sorted lowest first.