CMS Price Transparency Data
Group therapy session
Facility: Brooks-Tlc Hospital System, Inc
Billing Code: 90853 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$85
about 0.8× the $104 Medicare rate · typically $35–$117
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $85 Cash price $37 Hospital's list price $37
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Humana UnitedHealthcareAetnaCignaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $25 - $30 | 24% |
| Humanamajor | $127 | 122% |
| EmblemHealth | $165 | 159% |
| Independent Health | $66 - $170 | 64% |
| WellCare | $131 | 126% |
| + 2 smaller / regional plans | $25 - $152 |
Self-Pay How to get the cash price
Insurance Before you use insurance
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Other Procedures at Brooks-Tlc Hospital System, Inc
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.