CMS Price Transparency Data

Group therapy session

Facility: Mainehealth Maine Medical Center

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$49
about 0.5× the $104 Medicare rate · typically $29–$105
modeled estimate · not a bill or quote
What this hospital charges insurers
$49
About the fair price
0.5× Medicare
Medicare pays $104 Fair price $49 This hospital $49 Cash price $74 Hospital's list price $74

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

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

Cheapest $30 Priciest $61

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

A fair price for a Group therapy session is about $49 (about 0.5× the $104 Medicare rate). Mainehealth Maine Medical Center charges insurers about $49, or about $74 in cash — about the fair price. Located in Portland, ME.

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 $24 - $290 23%
Blue Cross Blue Shieldmajor $24 - $407 23%
Aetnamajor $23 - $267 22%
Cignamajor $34 - $538 33%
Humanamajor $27 - $90 26%
Harvard Pilgrim $29 - $472 28%
WellCare $28 - $92 27%
+ 1 smaller / regional plan $35 - $606
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 22 Bramhall St, Portland, ME 04102
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals