CMS Price Transparency Data

Group therapy session

Facility: Saratoga Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$44
about 0.4× the $104 Medicare rate · typically $29–$111
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
Below the fair price — a good deal
about $16 under the fair price · 0.3× Medicare
Medicare pays $104 Fair price $44 This hospital $28 Cash price $44 Hospital's list price $88

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

A typical price — 4 charge more and 3 charge less, among the 9 NY hospitals compared.

Cheapest $24 Priciest $29

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 $44 (about 0.4× the $104 Medicare rate). Saratoga Hospital charges insurers about $28, or about $44 in cash — below the fair price — a good deal. Located in Saratoga Springs, 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✓ Cigna HumanaKaiser 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 $9 - $250 9%
Blue Cross Blue Shieldmajor $11 - $153 11%
Aetnamajor $24 - $29 23%
Cignamajor $21 - $47 20%
CDPHP $16 - $186 15%
Fidelis Care $18 - $186 17%
MagnaCare $10 - $264 10%
MVP Health Care $8 - $208 8%
+ 5 smaller / regional plans $9 - $236
Government programs also on file: Medicare, Medicaid, Military & VA.
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: 211 Church Street, Saratoga Springs, NY 12866
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals