Group therapy session
Facility: St James Hospital
Billing Code: 90853 (CPT)
A typical price — 4 charge more and 3 charge less, among the 9 NY hospitals compared.
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 $71 (about 0.7× the $104 Medicare rate). St James Hospital charges insurers about $28 — below the fair price — a good deal. Located in Hornell, 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
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 | $21 - $136 | 20% |
| Blue Cross Blue Shieldmajor | $20 - $304 | 19% |
| Aetnamajor | $20 - $136 | 19% |
| Cignamajor | $30 - $305 | 29% |
| Humanamajor | $136 | 131% |
| CDPHP | $58 - $66 | 56% |
| Fidelis Care | $18 - $24 | 17% |
| MVP Health Care | $22 - $295 | 21% |
| + 1 smaller / regional plan | $287 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at St James Hospital
Compare: Group therapy session at other NY hospitals
- Geneva General Hospital · Geneva $24
- Kenmore Mercy Hospital · Kenmore $27
- Mercy Hospital of Buffalo · Buffalo $27
- Saratoga Hospital · Saratoga Springs $28
- Albany Medical Center Hospital · Albany $29
- F F Thompson Hospital · Canandaigua $29
- Sisters of Charity Hospital · Buffalo $29
- Jones Memorial Hospital · Wellsville $29
Insurance negotiated median for the same procedure, sorted lowest first.