CMS Price Transparency Data

Group therapy session

Facility: Long Island Community Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$100
about 1.0× the $104 Medicare rate · typically $48–$174
modeled estimate · not a bill or quote
What this hospital charges insurers
$85
Below the fair price — a good deal
about $15 under the fair price · 0.8× Medicare
Medicare pays $104 Fair price $100 This hospital $85 Cash price $36 Hospital's list price $274

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 $85

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 $100 (about 1.0× the $104 Medicare rate). Long Island Community Hospital charges insurers about $85, or about $36 in cash — below the fair price — a good deal. Located in Patchogue, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $85 82%
Blue Cross Blue Shieldmajor $85 - $150 82%
Aetnamajor $63 - $85 61%
Cignamajor $85 82%
Humanamajor $85 82%
Fidelis Care $85 82%
Oscar Health $58 56%
WellCare $93 90%
+ 11 smaller / regional plans $42 - $274
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 101 Hospital Road, Patchogue, NY 11772
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals