CMS Price Transparency Data

Group therapy session

Facility: Novant Health Hilton Head Medical Center

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$98
about 0.9× the $104 Medicare rate · typically $74–$102
modeled estimate · not a bill or quote
What this hospital charges insurers
$98
About the fair price
0.9× Medicare
Medicare pays $104 Fair price $98 This hospital $98 Cash price $208

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

A typical price — 2 charge more and 4 charge less, among the 9 SC hospitals compared.

Cheapest $27 Priciest $110

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

A fair price for a Group therapy session is about $98 (about 0.9× the $104 Medicare rate). Novant Health Hilton Head Medical Center charges insurers about $98, or about $208 in cash — about the fair price. Located in Hilton Head Island, SC.

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 $94 91%
Blue Cross Blue Shieldmajor $183 - $331 176%
Aetnamajor $94 91%
Cignamajor $97 93%
Humanamajor $94 91%
Clover Health $98 94%
Devoted Health $94 91%
Molina $96 - $165 92%
SelectHealth $99 - $212 95%
+ 1 smaller / regional plan $94 - $156

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Facility Profile & Credentials

  • Address: 25 Hospital Center Blvd, Hilton Head Island, SC 29926
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals