CMS Price Transparency Data

Group therapy session

Facility: Ngmc Barrow, LLC

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$109
about 1.0× the $104 Medicare rate · typically $68–$184
modeled estimate · not a bill or quote
What this hospital charges insurers
$104
About the fair price
about $5 under the fair price · 1.0× Medicare
Medicare pays $104 Fair price $109 This hospital $104 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 $104

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 $109 (about 1.0× the $104 Medicare rate). Ngmc Barrow, LLC charges insurers about $104, or about $198 in cash — about the fair price. Located in Winder, 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 $102 98%
Aetnamajor $104 100%
Cignamajor $105 101%
Humanamajor $107 103%
Amerigroup $34 33%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 316 North Broad Street, Winder, GA 30680
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals