CMS Price Transparency Data

Group therapy session

Facility: Genesis Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$72
about 0.7× the $104 Medicare rate · typically $45–$130
modeled estimate · not a bill or quote
What this hospital charges insurers
$73
About the fair price
about $1 over the fair price · 0.7× Medicare
Medicare pays $104 Fair price $72 This hospital $73 Cash price $359 Hospital's list price $598

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 $73

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Group therapy session is about $72 (about 0.7× the $104 Medicare rate). Genesis Hospital charges insurers about $73, or about $359 in cash — about the fair price. Located in Zanesville, OH.

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 $106 - $416 102%
Aetnamajor $106 - $452 102%
Humanamajor $106 102%
Medical Mutual $113 - $339 109%
UniCare $73 70%
UPMC Health Plan $142 - $427 137%
WellCare $106 102%
+ 75 smaller / regional plans $73 - $610
Government programs also on file: Medicare.
Excludes 11 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 2951 Maple Avenue, Zanesville, OH 43701
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals