CMS Price Transparency Data
Group therapy session
Facility: Little Falls Hospital
Billing Code: 90853 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$75
about 0.7× the $104 Medicare rate · typically $24–$188
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $75 Cash price $10 Hospital's list price $36
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 | $17 | 16% |
| Blue Cross Blue Shieldmajor | $4 - $117 | 4% |
| Aetnamajor | $18 | 17% |
| Cignamajor | $11 - $51 | 11% |
| Humanamajor | $18 | 17% |
| CDPHP | $17 - $117 | 16% |
| Fidelis Care | $18 | 17% |
| MVP Health Care | $17 | 16% |
| + 1 smaller / regional plan | $17 |
Self-Pay How to get the cash price
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Other Procedures at Little Falls Hospital
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.