CMS Price Transparency Data

Group therapy session

Facility: Harlem Hospital Center

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$115
about 1.1× the $104 Medicare rate · typically $51–$177
modeled estimate · not a bill or quote
What this hospital charges insurers
$109
About the fair price
about $6 under the fair price · 1.0× Medicare
Medicare pays $104 Fair price $115 This hospital $109 Hospital's list price $258

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 $109

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 $115 (about 1.1× the $104 Medicare rate). Harlem Hospital Center charges insurers about $109 — about the fair price. Located in New York, 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 $65 - $206 63%
Blue Cross Blue Shieldmajor $100 - $434 96%
Aetnamajor $66 - $666 64%
Cignamajor $193 186%
Fidelis Care $26 - $225 25%
MagnaCare $193 186%
Oscar Health $164 158%
WellCare $29 28%
+ 14 smaller / regional plans $21 - $407
Government programs also on file: 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: 506 Lenox Avenue, New York, NY 10037
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals