CMS Price Transparency Data

Group therapy session

Facility: Highland District Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$76
about 0.7× the $104 Medicare rate · typically $29–$254
modeled estimate · not a bill or quote
What this hospital charges insurers
$73
About the fair price
about $3 under the fair price · 0.7× Medicare
Medicare pays $104 Fair price $76 This hospital $73 Cash price $214 Hospital's list price $268

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.

A fair price for a Group therapy session is about $76 (about 0.7× the $104 Medicare rate). Highland District Hospital charges insurers about $73, or about $214 in cash — about the fair price. Located in Hillsboro, 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 $86 - $247 83%
Blue Cross Blue Shieldmajor $73 - $204 70%
Aetnamajor $87 - $218 84%
Cignamajor $241 232%
Humanamajor $73 - $237 70%
Medical Mutual $244 235%
+ 5 smaller / regional plans $71 - $241
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 1275 North High Street, Hillsboro, OH 45133
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals