CMS Price Transparency Data
Group therapy session
Facility: Tidalhealth Nanticoke, Inc.
Billing Code: 90853 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$122
about 1.2× the $104 Medicare rate · typically $46–$178
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $122 Cash price $212 Hospital's list price $212
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 | $168 | 162% |
| Blue Cross Blue Shieldmajor | $276 | 266% |
| Aetnamajor | $197 | 190% |
| Cignamajor | $151 | 145% |
| AmeriHealth | $108 | 104% |
| + 2 smaller / regional plans | $157 |
Self-Pay How to get the cash price
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Other Procedures at Tidalhealth Nanticoke, Inc.
Compare: Group therapy session at other DE hospitals
- PAM Rehabilitation Hospital of Dover · Dover $27
- PAM Health Rehabilitation Hospital of Georgetown · Georgetown $27
- Bayhealth Hospital, Sussex Campus · Milford $138
- Bayhealth Medical Center, Kent Campus · Dover $143
Insurance negotiated median for the same procedure, sorted lowest first.