CMS Price Transparency Data

Group therapy session

Facility: Johnston Memorial Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$95
about 0.9× the $104 Medicare rate · typically $75–$105
modeled estimate · not a bill or quote
What this hospital charges insurers
$103
About the fair price
about $8 over the fair price · 1.0× Medicare
Medicare pays $104 Fair price $95 This hospital $103 Cash price $50 Hospital's list price $331

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

On the higher side — 6 of 8 other VA hospitals charge less.

Cheapest $36 Priciest $104

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

A fair price for a Group therapy session is about $95 (about 0.9× the $104 Medicare rate). Johnston Memorial Hospital charges insurers about $103, or about $50 in cash — about the fair price. Located in Abingdon, VA.

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 $51 - $320 49%
Blue Cross Blue Shieldmajor $26 - $331 25%
Aetnamajor $99 - $336 95%
Cignamajor $104 - $160 100%
Humanamajor $99 95%
Ambetter (Centene) $216 208%
Amerigroup $71 - $103 68%
Devoted Health $104 100%
Molina $103 - $333 99%
Sentara $99 - $320 95%
WellCare $105 101%
+ 4 smaller / regional plans $99 - $331
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 16000 Johnston Memorial Drive, Abingdon, VA 24211
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals