CMS Price Transparency Data
Group therapy session
Facility: UPMC Jameson
Billing Code: 90853 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$84
about 0.8× the $104 Medicare rate · typically $39–$107
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $84 Cash price $44 Hospital's list price $74
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 | $88 | 85% |
| Blue Cross Blue Shieldmajor | $95 - $110 | 92% |
| Aetnamajor | $88 | 85% |
| Cignamajor | $23 - $95 | 22% |
| Humanamajor | $59 - $88 | 57% |
| AmeriHealth | $95 | 92% |
| Geisinger | $41 | 40% |
| UPMC Health Plan | $68 - $324 | 66% |
| + 3 smaller / regional plans | $41 - $110 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at UPMC Jameson
Compare: Group therapy session at other PA hospitals
- Saint Vincent Hospital · Erie $16
- Allegheny Valley Hospital · Natrona $26
- Canonsburg General Hospital · Canonsburg $26
- Grove City Medical Center · Grove City $26
- Forbes Hospital · Monroeville $26
- West Penn Hospital · Pittsburgh $27
- Titusville Area Hospital · Titusville $28
- Allegheny General Hospital · Pittsburgh $29
Insurance negotiated median for the same procedure, sorted lowest first.