CMS Price Transparency Data

Group therapy session

Facility: Westfield Memorial Hospital Inc

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$44
about 0.4× the $104 Medicare rate · typically $27–$90
modeled estimate · not a bill or quote
What this hospital charges insurers
$29
Below the fair price — a good deal
about $15 under the fair price · 0.3× Medicare
Medicare pays $104 Fair price $44 This hospital $29 Cash price $16 Hospital's list price $71

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

A typical price — 0 charge more and 5 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). Westfield Memorial Hospital Inc charges insurers about $29, or about $16 in cash — below the fair price — a good deal. Located in Westfield, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $6 - $118 6%
Blue Cross Blue Shieldmajor $22 - $182 21%
Aetnamajor $114 - $210 110%
Cignamajor $39 38%
Humanamajor $116 112%
AmeriHealth $115 111%
Independent Health $42 40%
Molina $119 115%
+ 7 smaller / regional plans $5 - $109
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 189 E Main St, Westfield, NY 14787
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - RURAL EMERGENCY HOSPITAL (REH)