CMS Price Transparency Data

Group therapy session

Facility: Wooster Community Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$94
about 0.9× the $104 Medicare rate · typically $52–$105
modeled estimate · not a bill or quote
What this hospital charges insurers
$101
About the fair price
about $7 over the fair price · 1.0× Medicare
Medicare pays $104 Fair price $94 This hospital $101 Cash price $173 Hospital's list price $173

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $26 Priciest $101

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 $94 (about 0.9× the $104 Medicare rate). Wooster Community Hospital charges insurers about $101, or about $173 in cash — about the fair price. Located in Wooster, OH.

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 $75 - $253 72%
Blue Cross Blue Shieldmajor $68 - $245 66%
Aetnamajor $60 - $266 58%
Cignamajor $64 - $213 62%
Humanamajor $75 - $250 72%
AmeriHealth $106 102%
CareSource $98 - $140 94%
Molina $98 - $167 94%
+ 31 smaller / regional plans $39 - $256
Government programs also on file: Military & VA.
Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1761 Beall Avenue, Wooster, OH 44691
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals