CMS Price Transparency Data

Group therapy session

Facility: Alice Peck Day Memorial Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$119
about 1.1× the $104 Medicare rate · typically $15–$335
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $119 Cash price $27 Hospital's list price $50

How we calculate the fair BaseRate →

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 $28 - $44 27%
Blue Cross Blue Shieldmajor $19 - $54 18%
Aetnamajor $35 - $58 34%
Cignamajor $30 - $50 29%
Humanamajor $41 - $63 40%
Ambetter (Centene) $11 11%
Harvard Pilgrim $24 - $53 23%
MVP Health Care $35 - $56 34%
Tufts Health Plan $29 - $45 28%
+ 4 smaller / regional plans $11 - $47
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 10 Alice Peck Day Drive, Lebanon, NH 03766
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals