CMS Price Transparency Data

Group therapy session

Facility: Southwestern Vermont Medical Center

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$38
about 0.4× the $104 Medicare rate · typically $27–$83
modeled estimate · not a bill or quote
What this hospital charges insurers
$27
Below the fair price — a good deal
about $11 under the fair price · 0.3× Medicare
Medicare pays $104 Fair price $38 This hospital $27 Cash price $54 Hospital's list price $77

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

Lowest price of the 6 VT hospitals we have prices for — a strong deal.

Cheapest $27 Priciest $54

Black dot = this hospital, among the 6 VT hospitals with a price for this procedure. Full list below.

A fair price for a Group therapy session is about $38 (about 0.4× the $104 Medicare rate). Southwestern Vermont Medical Center charges insurers about $27, or about $54 in cash — below the fair price — a good deal. Located in Bennington, VT.

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 $20 - $38 19%
Blue Cross Blue Shieldmajor $27 - $41 26%
Aetnamajor $27 - $43 26%
Cignamajor $27 - $35 26%
Humanamajor $27 26%
CDPHP $21 - $109 20%
Fidelis Care $27 - $29 26%
Harvard Pilgrim $35 34%
MVP Health Care $20 - $38 19%
Tufts Health Plan $43 41%
WellCare $27 26%
+ 3 smaller / regional plans $21 - $38

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 100 Hospital Drive, Bennington, VT 05201
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals