CMS Price Transparency Data

Group therapy session

Facility: Montefiore St Luke's Cornwall

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$132
about 1.3× the $104 Medicare rate · typically $84–$244
modeled estimate · not a bill or quote
What this hospital charges insurers
$127
About the fair price
about $5 under the fair price · 1.2× Medicare
Medicare pays $104 Fair price $132 This hospital $127 Cash price $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 $132 (about 1.3× the $104 Medicare rate). Montefiore St Luke's Cornwall charges insurers about $127, or about $127 in cash — about the fair price. Located in Newburgh, 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 $127 122%
Blue Cross Blue Shieldmajor $48 - $171 46%
Aetnamajor $126 121%
Humanamajor $139 134%
CDPHP $127 122%
Fidelis Care $101 - $147 97%
Oscar Health $127 122%
WellCare $131 126%
+ 11 smaller / regional plans $40 - $801
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 70 Dubois Street, Newburgh, NY 12550
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals