CMS Price Transparency Data

Group therapy session

Facility: UPMC Chautauqua at Wca

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$95
about 0.9× the $104 Medicare rate · typically $35–$119
modeled estimate · not a bill or quote
What this hospital charges insurers
$69
Below the fair price — a good deal
about $26 under the fair price · 0.7× Medicare
Medicare pays $104 Fair price $95 This hospital $69 Cash price $44 Hospital's list price $74

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 $69

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 $95 (about 0.9× the $104 Medicare rate). UPMC Chautauqua at Wca charges insurers about $69, or about $44 in cash — below the fair price — a good deal. Located in Jamestown, 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 $35 - $69 34%
Blue Cross Blue Shieldmajor $69 - $114 66%
Aetnamajor $38 - $48 37%
Humanamajor $56 - $59 54%
Fidelis Care $45 - $155 43%
Geisinger $41 40%
Independent Health $107 - $136 103%
MagnaCare $44 - $56 42%
Molina $69 - $155 66%
UPMC Health Plan $44 42%
+ 3 smaller / regional plans $25 - $72
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 207 Foote Avenue, Jamestown, NY 14701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals