CMS Price Transparency Data

Group therapy session

Facility: Jacobi Medical Center

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$108
about 1.0× the $104 Medicare rate · typically $55–$168
modeled estimate · not a bill or quote
What this hospital charges insurers
$113
About the fair price
about $5 over the fair price · 1.1× Medicare
Medicare pays $104 Fair price $108 This hospital $113 Hospital's list price $335

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 $113

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 $108 (about 1.0× the $104 Medicare rate). Jacobi Medical Center charges insurers about $113 — about the fair price. Located in Bronx, NY.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $65 - $268 63%
Blue Cross Blue Shieldmajor $102 - $427 98%
Aetnamajor $66 - $666 64%
Cignamajor $252 243%
Fidelis Care $27 - $249 26%
MagnaCare $252 - $374 243%
Oscar Health $164 158%
WellCare $29 28%
+ 14 smaller / regional plans $21 - $407
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1400 Pelham Parkway South, Bronx, NY 10461
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals