CMS Price Transparency Data

Group therapy session

Facility: Jefferson Einstein Philadelphia Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$101
about 1.0× the $104 Medicare rate · typically $43–$110
modeled estimate · not a bill or quote
What this hospital charges insurers
$100
About the fair price
about $1 under the fair price · 1.0× Medicare
Medicare pays $104 Fair price $101 This hospital $100 Cash price $108

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 $100

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 $101 (about 1.0× the $104 Medicare rate). Jefferson Einstein Philadelphia Hospital charges insurers about $100, or about $108 in cash — about the fair price. Located in Philadelphia, 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 $96 92%
Blue Cross Blue Shieldmajor $99 95%
Aetnamajor $87 - $100 84%
Cignamajor $98 94%
Humanamajor $94 91%
Geisinger $108 - $384 104%
UPMC Health Plan $99 95%
WellCare $104 100%
+ 2 smaller / regional plans $100 - $132

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Facility Profile & Credentials

  • Address: 5501 Old York Road, Philadelphia, PA 19141
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals