CMS Price Transparency Data

Group therapy session

Facility: Garnet Health Medical Center

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$127
about 1.2× the $104 Medicare rate · typically $87–$237
modeled estimate · not a bill or quote
What this hospital charges insurers
$130
About the fair price
about $3 over the fair price · 1.3× Medicare
Medicare pays $104 Fair price $127 This hospital $130 Cash price $94 Hospital's list price $375

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $24 Priciest $130

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

A fair price for a Group therapy session is about $127 (about 1.2× the $104 Medicare rate). Garnet Health Medical Center charges insurers about $130, or about $94 in cash — about the fair price. Located in Middletown, NY.

What each insurance company pays

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

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

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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
Aetnamajor $127 - $234 122%
Fidelis Care $129 124%
Geisinger $317 305%
MagnaCare $66 - $106 64%
MVP Health Care $118 114%
WellCare $130 125%
+ 4 smaller / regional plans $125 - $260

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 707 East Main Street, Middletown, NY 10940
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals