Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
MH-IOP PSYTX GROUP
Winston-Salem, NC
See all hospitals reporting CPT 90853 →Price type
Forsyth Memorial Hospital, Inc.’s median price of $191 is 75% above the median hospital's median price ($109), higher than 81% of the 1,704 hospitals reporting CPT 90853. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 28 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield healthy blue medicaid fee schedule · outpatient | $54.35 | $54.49 | $54.35 – $54.92 |
| 2 | UnitedHealthcare medicaid fee schedule · outpatient | $54.35 | $54.49 | $54.35 – $54.92 |
| 3 | WellCare medicaid fee schedule · outpatient | $54.35 | $54.49 | $54.35 – $54.92 |
| 4 | Blue Cross Blue Shield blue medicare fee schedule · outpatient | $98.53 | $98.53 | $98.53 – $98.53 |
| 5 | Humana medicare fee schedule · outpatient | $98.53 | $98.53 | $98.53 – $98.53 |
| 6 | UnitedHealthcare medicare fee schedule · outpatient | $98.53 | $98.53 | $98.53 – $98.53 |
| 7 | Aetna medicare fee schedule · outpatient | $100.99 | $100.99 | $100.99 – $100.99 |
| 8 | Cigna healthspring fee schedule · outpatient | $101.49 | $101.49 | $101.49 – $101.49 |
| 9 | Cigna aca fee schedule · outpatient | $111.06 | $111.35 | $111.06 – $112.23 |
| 10 | Caresource qualified health plan fee schedule · outpatient | $114.80 | $115.10 | $114.80 – $116.00 |
| 11 | Blue Cross Blue Shield blue home fee schedule · outpatient | $149.81 | $150.20 | $149.81 – $151.38 |
| 12 | Blue Cross Blue Shield blue value fee schedule · outpatient | $154.98 | $155.39 | $154.98 – $156.60 |
| 13 | Cigna commercial fee schedule · outpatient | $170.47 | $170.92 | $170.47 – $172.26 |
| 14 | Aetna commercial fee schedule · outpatient | $176.79 | $177.25 | $176.79 – $178.64 |
| 15 | UnitedHealthcare all payer fee schedule · outpatient | $193.15 | $193.66 | $193.15 – $195.17 |
| 16 | Blue Cross Blue Shield hmo fee schedule · outpatient | $197.16 | $197.68 | $197.16 – $199.23 |
| 17 | Blue Cross Blue Shield ppo fee schedule · outpatient | $197.16 | $197.68 | $197.16 – $199.23 |
| 18 | Humana commercial fee schedule · outpatient | $223.57 | $224.16 | $223.57 – $225.91 |
| 19 | Aetna aca fee schedule · outpatient | $229.60 | $230.20 | $229.60 – $232.00 |
| 20 | Aetna first health fee schedule · outpatient | $229.60 | $230.20 | $229.60 – $232.00 |
| 21 | Aetna non-par products of apcn fee schedule · outpatient | $229.60 | $230.20 | $229.60 – $232.00 |
| 22 | Aetna rental network products fee schedule · outpatient | $229.60 | $230.20 | $229.60 – $232.00 |
| 23 | Aetna whole health non-multitier fee schedule · outpatient | $229.60 | $230.20 | $229.60 – $232.00 |
| 24 | Medcost mbs fee schedule · outpatient | $243.95 | $244.59 | $243.95 – $246.50 |
| 25 | Beechstreet commercial fee schedule · outpatient | $258.30 | $258.98 | $258.30 – $261.00 |
Last updated: Mar 30, 2026
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