CMS Price Transparency Data

Group therapy session

Facility: Memorial Hospital of Lafayette County

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$81
about 0.8× the $104 Medicare rate · typically $25–$191
modeled estimate · not a bill or quote
What this hospital charges insurers
$26
Below the fair price — a good deal
about $55 under the fair price · 0.3× Medicare
Medicare pays $104 Fair price $81 This hospital $26

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Lowest price of the 9 WI hospitals we have prices for — a strong deal.

Cheapest $26 Priciest $89

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 $81 (about 0.8× the $104 Medicare rate). Memorial Hospital of Lafayette County charges insurers about $26 — below the fair price — a good deal. Located in Darlington, WI.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $26 - $35 25%
Blue Cross Blue Shieldmajor $26 25%
Aetnamajor $26 25%
Humanamajor $26 25%
Dean Health Plan $26 25%
Quartz $26 25%
+ 1 smaller / regional plan $26

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Facility Profile & Credentials

  • Address: 211 Bev Anderson Dr, Darlington, WI 53530
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals