CMS Price Transparency Data
Group therapy session
Facility: Preston Memorial Hospital
Billing Code: 90853 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$90
about 0.9× the $104 Medicare rate · typically $18–$203
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $90 Cash price $44 Hospital's list price $88
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 | $53 | 51% |
| Blue Cross Blue Shieldmajor | $64 - $78 | 62% |
| Aetnamajor | $53 - $79 | 51% |
| Cignamajor | $81 | 78% |
| Humanamajor | $53 | 51% |
| GEHA | $83 | 80% |
| UniCare | $103 | 99% |
| UPMC Health Plan | $55 | 53% |
| + 3 smaller / regional plans | $53 - $85 |
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Preston Memorial Hospital
Compare: Group therapy session at other WV hospitals
- Vandalia Health Broaddus Hospital · Philippi $19
- United Hospital Center, Inc · Bridgeport $20
- Berkeley Medical Center · Martinsburg $20
- St Marys Medical Center · Huntington $26
- Cabell Huntington Hospital, Inc · Huntington $26
- Charleston Area Medical Center · Charleston $29
- Boone Memorial Hospital · Madison $37
- Princeton Community Hospital Assn Inc · Princeton $72
Insurance negotiated median for the same procedure, sorted lowest first.