CMS Price Transparency Data

Group therapy session

Facility: York Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$86
about 0.8× the $104 Medicare rate · typically $34–$163
modeled estimate · not a bill or quote
What this hospital charges insurers
$35
Below the fair price — a good deal
about $51 under the fair price · 0.3× Medicare
Medicare pays $104 Fair price $86 This hospital $35 Cash price $23 Hospital's list price $39

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

One of the lower prices — 7 of 8 other ME hospitals charge more for the same procedure.

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 $86 (about 0.8× the $104 Medicare rate). York Hospital charges insurers about $35, or about $23 in cash — below the fair price — a good deal. Located in York, ME.

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✓ Cigna HumanaKaiser 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 $35 34%
Blue Cross Blue Shieldmajor $256 - $320 247%
Aetnamajor $66 64%
Cignamajor $439 423%
Harvard Pilgrim $34 33%
+ 1 smaller / regional plan $34
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: 15 Hospital Drive, York, ME 03909
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals