CMS Price Transparency Data

Group therapy session

Facility: Heritage Valley Sewickley

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$79
about 0.8× the $104 Medicare rate · typically $38–$102
modeled estimate · not a bill or quote
What this hospital charges insurers
$35
Below the fair price — a good deal
about $44 under the fair price · 0.3× Medicare
Medicare pays $104 Fair price $79 This hospital $35 Cash price $49 Hospital's list price $180

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $16 Priciest $35

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Group therapy session is about $79 (about 0.8× the $104 Medicare rate). Heritage Valley Sewickley charges insurers about $35, or about $49 in cash — below the fair price — a good deal. Located in Sewickley, PA.

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 $13 - $99 13%
Blue Cross Blue Shieldmajor $27 - $332 26%
Aetnamajor $30 - $99 29%
Cignamajor $9 - $103 9%
UPMC Health Plan $30 - $110 29%
+ 2 smaller / regional plans $24 - $99

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 720 Blackburn Road, Sewickley, PA 15143
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals