CMS Price Transparency Data
Group therapy session
Facility: Phoebe Sumter Medical Center
Billing Code: 90853 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$103
about 1.0× the $104 Medicare rate · typically $62–$117
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $103 Cash price $50 Hospital's list price $83
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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 |
|---|---|---|
| Aetnamajor | $91 - $138 | 88% |
| Ambetter (Centene) | $156 | 150% |
| Clover Health | $92 | 89% |
| + 2 smaller / regional plans | $93 - $129 |
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Other Procedures at Phoebe Sumter Medical Center
Compare: Group therapy session at other GA hospitals
- Miller County Hospital · Colquitt $27
- Atrium Health Navicent Peach · Byron $29
- Grady Memorial Hospital · Atlanta $30
- Chatuge Regional Hospital · Hiawassee $33
- Jeff Davis Hospital · Hazlehurst $37
- Shepherd Center, Inc. · Atlanta $37
- Navicent Health Baldwin · Milledgeville $47
- Atrium Health Navicent the Medical Center · Macon $53
Insurance negotiated median for the same procedure, sorted lowest first.