CMS Price Transparency Data

Group therapy session

Facility: Mainehealth Mid Coast Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$50
about 0.5× the $104 Medicare rate · typically $31–$111
modeled estimate · not a bill or quote
What this hospital charges insurers
$52
About the fair price
about $2 over the fair price · 0.5× Medicare
Medicare pays $104 Fair price $50 This hospital $52 Cash price $238 Hospital's list price $238

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

On the higher side — 6 of 8 other ME hospitals charge less.

Cheapest $30 Priciest $61

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Group therapy session is about $50 (about 0.5× the $104 Medicare rate). Mainehealth Mid Coast Hospital charges insurers about $52, or about $238 in cash — about the fair price. Located in Brunswick, 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 - $224 23%
Blue Cross Blue Shieldmajor $24 - $323 23%
Aetnamajor $23 - $201 22%
Cignamajor $48 - $250 46%
Humanamajor $28 - $90 27%
Harvard Pilgrim $53 - $472 51%
WellCare $28 - $93 27%
+ 1 smaller / regional plan $51 - $224
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 123 Medical Center Drive, Brunswick, ME 04011
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals