CMS Price Transparency Data

Group therapy session

Facility: Novant Health New Hanover Regional Medical Center

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$97
about 0.9× the $104 Medicare rate · typically $34–$162
modeled estimate · not a bill or quote
What this hospital charges insurers
$104
About the fair price
about $7 over the fair price · 1.0× Medicare
Medicare pays $104 Fair price $97 This hospital $104

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Highest price of the 9 NC hospitals we have prices for — worth calling around.

Cheapest $25 Priciest $104

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

A fair price for a Group therapy session is about $97 (about 0.9× the $104 Medicare rate). Novant Health New Hanover Regional Medical Center charges insurers about $104 — about the fair price. Located in Wilmington, NC.

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 $104 100%
Blue Cross Blue Shieldmajor $102 98%
Aetnamajor $104 100%
Cignamajor $105 101%
Humanamajor $100 - $102 96%
Ambetter (Centene) $142 137%
+ 4 smaller / regional plans $102 - $203

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Facility Profile & Credentials

  • Address: 2131 S 17Th St, Wilmington, NC 28402
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals