CMS Price Transparency Data

Group therapy session

Facility: Northeast Georgia Medical Center Lumpkin

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$104
about 1.0× the $104 Medicare rate · typically $71–$182
modeled estimate · not a bill or quote
What this hospital charges insurers
$108
About the fair price
about $4 over the fair price · 1.0× Medicare
Medicare pays $104 Fair price $104 This hospital $108 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 $108

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 $104 (about 1.0× the $104 Medicare rate). Northeast Georgia Medical Center Lumpkin charges insurers about $108, or about $198 in cash — about the fair price. Located in Dahlonega, 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 $105 101%
Aetnamajor $108 104%
Cignamajor $109 105%
Humanamajor $111 107%
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: 227 Mountain Drive, Dahlonega, GA 30533
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals