CMS Price Transparency Data
Group therapy session
Facility: Highland Hospital
Billing Code: 90853 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$51
about 0.5× the $104 Medicare rate · typically $25–$128
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $51 Hospital's list price $40
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 | $21 - $160 | 20% |
| Blue Cross Blue Shieldmajor | $20 - $181 | 19% |
| Aetnamajor | $20 - $142 | 19% |
| Cignamajor | $55 - $215 | 53% |
| Humanamajor | $24 - $140 | 23% |
| Amerigroup | $21 - $160 | 20% |
| CDPHP | $58 - $89 | 56% |
| Fidelis Care | $29 - $160 | 28% |
| Independent Health | $39 - $48 | 38% |
| Molina | $52 - $160 | 50% |
| MVP Health Care | $42 - $309 | 40% |
| + 4 smaller / regional plans | $24 - $127 |
Government programs also on file: Medicare, Medicaid.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Highland 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
- 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.