CMS Price Transparency Data

Group therapy session

Facility: Saint Thomas Highlands Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$86
about 0.8× the $104 Medicare rate · typically $46–$100
modeled estimate · not a bill or quote
What this hospital charges insurers
$87
About the fair price
about $1 over the fair price · 0.8× Medicare
Medicare pays $104 Fair price $86 This hospital $87

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 $87

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 $86 (about 0.8× the $104 Medicare rate). Saint Thomas Highlands Hospital charges insurers about $87 — about the fair price. Located in Sparta, 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✓ Humana CignaKaiser 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 $87 84%
Blue Cross Blue Shieldmajor $23 - $92 22%
Aetnamajor $46 - $89 44%
Humanamajor $87 84%
Ambetter (Centene) $114 110%
Amerigroup $87 84%
Cigna HealthSpring $87 84%
Oscar Health $122 118%
+ 6 smaller / regional plans $28 - $122
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 401 Sewell Dr, Sparta, TN 38583
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals