CMS Price Transparency Data

Group therapy session

Facility: Punxsutawney Area Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$82
about 0.8× the $104 Medicare rate · typically $35–$98
modeled estimate · not a bill or quote
What this hospital charges insurers
$94
About the fair price
about $12 over the fair price · 0.9× Medicare
Medicare pays $104 Fair price $82 This hospital $94 Cash price $69 Hospital's list price $186

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 $94

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 $82 (about 0.8× the $104 Medicare rate). Punxsutawney Area Hospital charges insurers about $94, or about $69 in cash — about the fair price. Located in Punxsutawney, 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 $26 - $110 25%
Blue Cross Blue Shieldmajor $18 - $596 17%
Aetnamajor $29 - $233 28%
Cignamajor $57 - $164 55%
Humanamajor $104 100%
Ambetter (Centene) $31 - $112 30%
AmeriHealth $29 - $104 28%
Geisinger $30 - $297 29%
UPMC Health Plan $30 - $276 29%
+ 1 smaller / regional plan $37 - $212
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 81 Hillcrest Drive, Punxsutawney, PA 15767
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals