CMS Price Transparency Data

Group therapy session

Facility: Mainehealth Franklin Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$59
about 0.6× the $104 Medicare rate · typically $32–$157
modeled estimate · not a bill or quote
What this hospital charges insurers
$45
Below the fair price — a good deal
about $14 under the fair price · 0.4× Medicare
Medicare pays $104 Fair price $59 This hospital $45

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

A typical price — 4 charge more and 4 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 $59 (about 0.6× the $104 Medicare rate). Mainehealth Franklin Hospital charges insurers about $45 — below the fair price — a good deal. Located in Farmington, 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 $27 - $47 26%
Blue Cross Blue Shieldmajor $27 - $402 26%
Aetnamajor $23 - $48 22%
Cignamajor $48 46%
Harvard Pilgrim $53 51%
WellCare $27 26%
+ 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: 111 Franklin Health Commons, Farmington, ME 04938
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals