CMS Price Transparency Data

Group therapy session

Facility: Community Memorial Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$103
about 1.0× the $104 Medicare rate · typically $59–$165
modeled estimate · not a bill or quote
What this hospital charges insurers
$93
About the fair price
about $10 under the fair price · 0.9× Medicare
Medicare pays $104 Fair price $103 This hospital $93

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

A typical price — 4 charge more and 3 charge less, among the 9 VA hospitals compared.

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 $103 (about 1.0× the $104 Medicare rate). Community Memorial Hospital charges insurers about $93 — about the fair price. Located in South Hill, 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 $92 - $383 89%
Blue Cross Blue Shieldmajor $88 - $375 85%
Aetnamajor $88 - $379 85%
Cignamajor $89 86%
Humanamajor $93 90%
Molina $394 380%
Sentara $88 - $375 85%

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Facility Profile & Credentials

  • Address: 1755 North Mecklenburg Avenue, South Hill, VA 23970
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals