CMS Price Transparency Data

Group therapy session

Facility: Lincolnhealth

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$57
about 0.5× the $104 Medicare rate · typically $32–$155
modeled estimate · not a bill or quote
What this hospital charges insurers
$38
Below the fair price — a good deal
about $19 under the fair price · 0.4× Medicare
Medicare pays $104 Fair price $57 This hospital $38

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

One of the lower prices — 5 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 $57 (about 0.5× the $104 Medicare rate). Lincolnhealth charges insurers about $38 — below the fair price — a good deal. Located in Damariscotta, 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 $27 - $47 26%
Blue Cross Blue Shieldmajor $24 - $553 23%
Aetnamajor $23 - $48 22%
Cignamajor $48 46%
Humanamajor $27 26%
Harvard Pilgrim $53 51%
WellCare $28 27%
+ 1 smaller / regional plan $51
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: 35 Miles Street, Damariscotta, ME 04543
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals