CMS Price Transparency Data

Group therapy session

Facility: Northeastern Vermont Regional Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$71
about 0.7× the $104 Medicare rate · typically $20–$243
modeled estimate · not a bill or quote
What this hospital charges insurers
$30
Below the fair price — a good deal
about $41 under the fair price · 0.3× Medicare
Medicare pays $104 Fair price $71 This hospital $30 Cash price $62 Hospital's list price $82

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

One of the lower prices — 4 of 5 other VT hospitals charge more for the same procedure.

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 $71 (about 0.7× the $104 Medicare rate). Northeastern Vermont Regional Hospital charges insurers about $30, or about $62 in cash — below the fair price — a good deal. Located in Saint Johnsbury, VT.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $78 75%
Blue Cross Blue Shieldmajor $30 29%
Harvard Pilgrim $76 73%
+ 1 smaller / regional plan $30

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1315 Hospital Drive, Saint Johnsbury, VT 05819
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals