CMS Price Transparency Data

Group therapy session

Facility: Bayhealth Medical Center, Kent Campus

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$150
about 1.4× the $104 Medicare rate · typically $108–$150
modeled estimate · not a bill or quote
What this hospital charges insurers
$143
About the fair price
about $7 under the fair price · 1.4× Medicare
Medicare pays $104 Fair price $150 This hospital $143

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

Highest price of the 4 DE hospitals we have prices for — worth calling around.

Cheapest $27 Priciest $143

Black dot = this hospital, among the 4 DE hospitals with a price for this procedure. Full list below.

A fair price for a Group therapy session is about $150 (about 1.4× the $104 Medicare rate). Bayhealth Medical Center, Kent Campus charges insurers about $143 — about the fair price. Located in Dover, DE.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $472 - $530 455%
Aetnamajor $113 109%
Ambetter (Centene) $170 164%
AmeriHealth $41 - $116 40%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 640 S State Street, Dover, DE 19901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals