CMS Price Transparency Data

Group therapy session

Facility: Baptist Medical Center - Nassau

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$96
about 0.9× the $104 Medicare rate · typically $41–$126
modeled estimate · not a bill or quote
What this hospital charges insurers
$153
Above the fair price
about $57 over the fair price · 1.5× Medicare
Medicare pays $104 Fair price $96 This hospital $153 Cash price $210 Hospital's list price $339

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

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

Cheapest $27 Priciest $153

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

A fair price for a Group therapy session is about $96 (about 0.9× the $104 Medicare rate). Baptist Medical Center - Nassau charges insurers about $153, or about $210 in cash — above the fair price. Located in Fernandina Beach, FL.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $96. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $94 - $168 91%
Blue Cross Blue Shieldmajor $98 - $220 94%
Aetnamajor $95 - $271 92%
Cignamajor $210 - $259 202%
Humanamajor $153 147%
Ambetter (Centene) $223 215%
Amerigroup $153 147%
AmeriHealth $168 162%
AvMed $108 - $254 104%
Devoted Health $98 94%
Molina $182 175%
Simply Healthcare $160 - $183 154%
UPMC Health Plan $102 98%
+ 18 smaller / regional plans $93 - $978
Government programs also on file: Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1250 S 18Th St, Fernandina Beach, FL 32034
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals