CMS Price Transparency Data

Group therapy session

Facility: University Health System, Inc

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$88
about 0.8× the $104 Medicare rate · typically $53–$99
modeled estimate · not a bill or quote
What this hospital charges insurers
$84
About the fair price
about $4 under the fair price · 0.8× Medicare
Medicare pays $104 Fair price $88 This hospital $84

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Highest price of the 9 TN hospitals we have prices for — worth calling around.

Cheapest $23 Priciest $84

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 $88 (about 0.8× the $104 Medicare rate). University Health System, Inc charges insurers about $84 — about the fair price. Located in Knoxville, TN.

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 $27 - $84 26%
Blue Cross Blue Shieldmajor $29 - $90 28%
Aetnamajor $88 85%
Cignamajor $84 81%
Humanamajor $84 81%
Devoted Health $88 85%
WellCare $89 86%
+ 1 smaller / regional plan $90
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 1924 Alcoa Highway, Knoxville, TN 37920
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals