CMS Price Transparency Data

Group therapy session

Facility: Baptist Health Deaconess Madisonville

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$38
about 0.4× the $104 Medicare rate · typically $26–$75
modeled estimate · not a bill or quote
What this hospital charges insurers
$31
Below the fair price — a good deal
about $7 under the fair price · 0.3× Medicare
Medicare pays $104 Fair price $38 This hospital $31 Cash price $25 Hospital's list price $53

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

A typical price — 5 charge more and 3 charge less, among the 9 KY hospitals compared.

Cheapest $19 Priciest $91

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

A fair price for a Group therapy session is about $38 (about 0.4× the $104 Medicare rate). Baptist Health Deaconess Madisonville charges insurers about $31, or about $25 in cash — below the fair price — a good deal. Located in Madisonville, KY.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $23 22%
Blue Cross Blue Shieldmajor $19 - $83 18%
Aetnamajor $19 - $83 18%
Humanamajor $19 - $83 18%
Ambetter (Centene) $149 144%
Molina $19 18%
WellCare $19 18%
+ 7 smaller / regional plans $23 - $174

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: 900 Hospital Drive, Madisonville, KY 42431
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals