CMS Price Transparency Data

Group therapy session

Facility: Marshall Medical Centers

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$88
about 0.8× the $104 Medicare rate · typically $58–$89
modeled estimate · not a bill or quote
What this hospital charges insurers
$89
About the fair price
about $1 over the fair price · 0.9× Medicare
Medicare pays $104 Fair price $88 This hospital $89 Cash price $129 Hospital's list price $129

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

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

Cheapest $27 Priciest $89

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

A fair price for a Group therapy session is about $88 (about 0.8× the $104 Medicare rate). Marshall Medical Centers charges insurers about $89, or about $129 in cash — about the fair price. Located in Boaz, AL.

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✓ Cigna HumanaKaiser 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 $48 - $90 46%
Blue Cross Blue Shieldmajor $88 - $451 85%
Aetnamajor $89 - $100 86%
Cignamajor $32 - $88 31%
Ambetter (Centene) $128 123%
Devoted Health $90 87%
+ 1 smaller / regional plan $51 - $88

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 2505 U S Highway 431 North, Boaz, AL 35957
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals