CMS Price Transparency Data

Group therapy session

Facility: Union Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$52
about 0.5× the $104 Medicare rate · typically $34–$79
modeled estimate · not a bill or quote
What this hospital charges insurers
$62
Above the fair price
about $10 over the fair price · 0.6× Medicare
Medicare pays $104 Fair price $52 This hospital $62 Cash price $120 Hospital's list price $184

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

A typical price — 3 charge more and 5 charge less, among the 9 OH hospitals compared.

Cheapest $26 Priciest $66

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

A fair price for a Group therapy session is about $52 (about 0.5× the $104 Medicare rate). Union Hospital charges insurers about $62, or about $120 in cash — above the fair price. Located in Dover, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $52. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $24 - $108 23%
Blue Cross Blue Shieldmajor $24 - $106 23%
Aetnamajor $24 - $224 23%
Cignamajor $24 - $88 23%
Humanamajor $24 - $85 23%
AmeriHealth $31 - $111 30%
CareSource $29 - $101 28%
Devoted Health $85 82%
Molina $28 - $106 27%
Oscar Health $55 - $71 53%
UniCare $25 - $90 24%
UPMC Health Plan $85 - $134 82%
+ 18 smaller / regional plans $16 - $168
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 659 Boulevard, Dover, OH 44622
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals