CMS Price Transparency Data

Group therapy session

Facility: Cape Fear Valley Hoke Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$97
about 0.9× the $104 Medicare rate · typically $48–$103
modeled estimate · not a bill or quote
What this hospital charges insurers
$103
About the fair price
about $6 over the fair price · 1.0× Medicare
Medicare pays $104 Fair price $97 This hospital $103 Cash price $220 Hospital's list price $367

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 $103

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). Cape Fear Valley Hoke Hospital charges insurers about $103, or about $220 in cash — about the fair price. Located in Raeford, NC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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 $101 - $103 97%
Aetnamajor $103 - $252 99%
Humanamajor $111 107%
Ambetter (Centene) $201 194%
WellCare $101 97%
+ 5 smaller / regional plans $101 - $106
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 210 Medical Pavilion Drive, Raeford, NC 28376
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals