CMS Price Transparency Data

Group therapy session

Facility: Northeast Georgia Medical Center Habersham

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$90
about 0.9× the $104 Medicare rate · typically $61–$134
modeled estimate · not a bill or quote
What this hospital charges insurers
$91
About the fair price
about $1 over the fair price · 0.9× Medicare
Medicare pays $104 Fair price $90 This hospital $91 Cash price $198 Hospital's list price $431

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

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

Cheapest $27 Priciest $91

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

A fair price for a Group therapy session is about $90 (about 0.9× the $104 Medicare rate). Northeast Georgia Medical Center Habersham charges insurers about $91, or about $198 in cash — about the fair price. Located in Demorest, GA.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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 $89 86%
Aetnamajor $91 88%
Cignamajor $92 89%
Humanamajor $93 90%
Amerigroup $34 33%

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 541 Historic Highway 441-North, Demorest, GA 30535
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals