CMS Price Transparency Data

Group therapy session

Facility: Boone Memorial Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$64
about 0.6× the $104 Medicare rate · typically $23–$123
modeled estimate · not a bill or quote
What this hospital charges insurers
$37
Below the fair price — a good deal
about $27 under the fair price · 0.4× Medicare
Medicare pays $104 Fair price $64 This hospital $37 Cash price $75 Hospital's list price $136

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

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

Cheapest $19 Priciest $97

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

A fair price for a Group therapy session is about $64 (about 0.6× the $104 Medicare rate). Boone Memorial Hospital charges insurers about $37, or about $75 in cash — below the fair price — a good deal. Located in Madison, WV.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $8 - $59 8%
Aetnamajor $8 - $200 8%
Cignamajor $22 - $157 21%
Humanamajor $8 - $58 8%
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 701 Madison Avenue, Madison, WV 25130
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals