CMS Price Transparency Data

Group therapy session

Facility: Washington County Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$63
about 0.6× the $104 Medicare rate · typically $25–$158
modeled estimate · not a bill or quote
What this hospital charges insurers
$25
Below the fair price — a good deal
about $38 under the fair price · 0.2× Medicare
Medicare pays $104 Fair price $63 This hospital $25

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

One of the lower prices — 6 of 8 other IL hospitals charge more for the same procedure.

Cheapest $24 Priciest $34

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

A fair price for a Group therapy session is about $63 (about 0.6× the $104 Medicare rate). Washington County Hospital charges insurers about $25 — below the fair price — a good deal. Located in Nashville, IL.

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 $25 - $30 24%
Blue Cross Blue Shieldmajor $25 - $34 24%
Aetnamajor $25 - $34 24%
Cignamajor $32 31%
Humanamajor $25 24%
Ambetter (Centene) $25 24%
HealthLink $31 - $34 30%
Medica $25 - $31 24%
Meridian $25 - $34 24%
Molina $25 - $34 24%
WellCare $25 24%

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Facility Profile & Credentials

  • Address: 705 S Grand Ave, Nashville, IL 62263
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals