CMS Price Transparency Data

Group therapy session

Facility: Blount Memorial Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$84
about 0.8× the $104 Medicare rate · typically $21–$126
modeled estimate · not a bill or quote
What this hospital charges insurers
$32
Below the fair price — a good deal
about $52 under the fair price · 0.3× Medicare
Medicare pays $104 Fair price $84 This hospital $32 Cash price $87 Hospital's list price $281

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

A typical price — 3 charge more and 5 charge less, among the 9 TN hospitals compared.

Cheapest $23 Priciest $36

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

A fair price for a Group therapy session is about $84 (about 0.8× the $104 Medicare rate). Blount Memorial Hospital charges insurers about $32, or about $87 in cash — below the fair price — a good deal. Located in Maryville, TN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $27 - $334 26%
Blue Cross Blue Shieldmajor $99 - $216 95%
Aetnamajor $159 - $346 153%
Cignamajor $97 - $250 93%
MVP Health Care $129 124%
+ 14 smaller / regional plans $41 - $450
Government programs also on file: Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 907 E Lamar Alexander Parkway, Maryville, TN 37804
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals