CMS Price Transparency Data

Group therapy session

Facility: Tristar Southern Hills 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–$161
modeled estimate · not a bill or quote
What this hospital charges insurers
$42
Below the fair price — a good deal
about $27 under the fair price · 0.4× Medicare
Medicare pays $104 Fair price $69 This hospital $42

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 $42

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 Southern Hills Medical Center charges insurers about $42 — below the fair price — a good deal. Located in Nashville, 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 $39 - $66 38%

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Facility Profile & Credentials

  • Address: 391 Wallace Rd, Nashville, TN 37211
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals