CMS Price Transparency Data

Group therapy session

Facility: Community Memorial Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$98
about 0.9× the $104 Medicare rate · typically $59–$233
modeled estimate · not a bill or quote
What this hospital charges insurers
$90
About the fair price
about $8 under the fair price · 0.9× Medicare
Medicare pays $104 Fair price $98 This hospital $90 Cash price $194 Hospital's list price $352

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $26 Priciest $90

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

A fair price for a Group therapy session is about $98 (about 0.9× the $104 Medicare rate). Community Memorial Hospital charges insurers about $90, or about $194 in cash — about the fair price. Located in Menomonee Falls, WI.

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 $88 - $389 85%
Blue Cross Blue Shieldmajor $90 - $460 87%
Aetnamajor $92 - $306 89%
Cignamajor $385 - $474 371%
Humanamajor $90 87%
Health Net $166 - $271 160%
HealthPartners $90 - $284 87%
Security Health Plan $90 87%
+ 20 smaller / regional plans $80 - $393
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: W180 N8085 Town Hall Rd, Menomonee Falls, WI 53051
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals