CMS Price Transparency Data
Group therapy session
Facility: Adirondack Medical Center - Saranac Lake
Billing Code: 90853 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$92
about 0.9× the $104 Medicare rate · typically $39–$140
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $92 Cash price $51 Hospital's list price $82
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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 | $31 - $346 | 30% |
| Aetnamajor | $133 | 128% |
| Cignamajor | $66 | 64% |
| CDPHP | $133 | 128% |
| MVP Health Care | $66 | 64% |
| WellCare | $136 | 131% |
| + 1 smaller / regional plan | $133 |
Government programs also on file: Medicare, Military & VA.
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Other Procedures at Adirondack Medical Center - Saranac Lake
Compare: Group therapy session at other NY hospitals
- Geneva General Hospital · Geneva $24
- Kenmore Mercy Hospital · Kenmore $27
- Mercy Hospital of Buffalo · Buffalo $27
- St James Hospital · Hornell $28
- Saratoga Hospital · Saratoga Springs $28
- Albany Medical Center Hospital · Albany $29
- F F Thompson Hospital · Canandaigua $29
- Sisters of Charity Hospital · Buffalo $29
Insurance negotiated median for the same procedure, sorted lowest first.