CMS Price Transparency Data

Group therapy session

Facility: Tristar Horizon Medical Center

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$69
about 0.7× the $104 Medicare rate · typically $31–$164
modeled estimate · not a bill or quote
What this hospital charges insurers
$39
Below the fair price — a good deal
about $30 under the fair price · 0.4× Medicare
Medicare pays $104 Fair price $69 This hospital $39

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 $39

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 $69 (about 0.7× the $104 Medicare rate). Tristar Horizon Medical Center charges insurers about $39 — below the fair price — a good deal. Located in Dickson, TN.

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $36 - $66 35%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 111 Highway 70 East, Dickson, TN 37055
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals