CMS Price Transparency Data

Group therapy session

Facility: Geisinger-Lewistown Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$95
about 0.9× the $104 Medicare rate · typically $41–$129
modeled estimate · not a bill or quote
What this hospital charges insurers
$91
About the fair price
about $4 under the fair price · 0.9× Medicare
Medicare pays $104 Fair price $95 This hospital $91 Cash price $150 Hospital's list price $242

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 $91

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 $95 (about 0.9× the $104 Medicare rate). Geisinger-Lewistown Hospital charges insurers about $91, or about $150 in cash — about the fair price. Located in Lewistown, PA.

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 $107 103%
Blue Cross Blue Shieldmajor $79 - $271 76%
Aetnamajor $99 - $118 95%
Cignamajor $100 - $127 96%
Humanamajor $91 88%
Ambetter (Centene) $215 207%
AmeriHealth $4 4%
Geisinger $4 - $420 4%
HealthPartners $4 4%
UPMC Health Plan $4 - $11,890 4%
+ 5 smaller / regional plans $25 - $342
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 400 Highland Avenue, Lewistown, PA 17044
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals