CMS Price Transparency Data
Group therapy session
Facility: North Central Health Care
Billing Code: 90853 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$114
about 1.1× the $104 Medicare rate · typically $30–$274
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $114 Cash price $71 Hospital's list price $71
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser 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 | $42 | 40% |
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Other Procedures at North Central Health Care
Compare: Group therapy session at other WI hospitals
- Memorial Hospital of Lafayette County · Darlington $26
- Richland Hospital · Richland Center $28
- Crossing Rivers Health Medical Center · Prairie Du Chien $33
- Hudson Hospital · Hudson $66
- Unitypoint Health - Meriter · Madison $71
- Bellin Memorial Hospital · Green Bay $85
- Holy Family Memorial · Manitowoc $88
- Fort Memorial Hospital · Fort Atkinson $89
Insurance negotiated median for the same procedure, sorted lowest first.