CMS Price Transparency Data

Group therapy session

Facility: Crouse Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$127
about 1.2× the $104 Medicare rate · typically $58–$129
modeled estimate · not a bill or quote
What this hospital charges insurers
$127
About the fair price
1.2× Medicare
Medicare pays $104 Fair price $127 This hospital $127

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 $127

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 $127 (about 1.2× the $104 Medicare rate). Crouse Hospital charges insurers about $127 — about the fair price. Located in Syracuse, 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✓ Humana CignaKaiser 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 $52 - $127 50%
Blue Cross Blue Shieldmajor $52 - $228 50%
Aetnamajor $127 122%
Humanamajor $127 122%
CDPHP $127 122%
EmblemHealth $127 122%
Fidelis Care $52 - $186 50%
Molina $52 - $117 50%
MVP Health Care $117 - $266 113%
WellCare $52 - $133 50%
+ 5 smaller / regional plans $52 - $285
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: 736 Irving Avenue, Syracuse, NY 13210
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals