CMS Price Transparency Data

Group therapy session

Facility: Clinton Memorial Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$102
about 1.0× the $104 Medicare rate · typically $88–$130
modeled estimate · not a bill or quote
What this hospital charges insurers
$100
About the fair price
about $2 under the fair price · 1.0× Medicare
Medicare pays $104 Fair price $102 This hospital $100

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 $100

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 $102 (about 1.0× the $104 Medicare rate). Clinton Memorial Hospital charges insurers about $100 — about the fair price. Located in Wilmington, OH.

What each insurance company pays

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

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

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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
Aetnamajor $65 - $98 63%
CareSource $128 123%
+ 1 smaller / regional plan $101 - $142

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Facility Profile & Credentials

  • Address: 610 West Main Street, Wilmington, OH 45177
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals