CMS Price Transparency Data

Group therapy session

Facility: Montefiore New Rochelle Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$88
about 0.8× the $104 Medicare rate · typically $39–$148
modeled estimate · not a bill or quote
What this hospital charges insurers
$93
About the fair price
about $5 over the fair price · 0.9× Medicare
Medicare pays $104 Fair price $88 This hospital $93

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 $93

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 $88 (about 0.8× the $104 Medicare rate). Montefiore New Rochelle Hospital charges insurers about $93 — about the fair price. Located in New Rochelle, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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 $24 - $109 23%
Aetnamajor $303 - $339 292%
Humanamajor $120 116%
Fidelis Care $63 - $109 61%
Molina $62 - $151 60%
MVP Health Care $63 - $130 61%
SelectHealth $73 70%
WellCare $64 - $112 62%
+ 10 smaller / regional plans $26 - $282
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 16 Guion Place, New Rochelle, NY 10802
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals