CMS Price Transparency Data

Group therapy session

Facility: Jefferson Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$34
about 0.3× the $104 Medicare rate · typically $26–$70
modeled estimate · not a bill or quote
What this hospital charges insurers
$29
Below the fair price — a good deal
about $5 under the fair price · 0.3× Medicare
Medicare pays $104 Fair price $34 This hospital $29 Cash price $13 Hospital's list price $71

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 $29

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 $34 (about 0.3× the $104 Medicare rate). Jefferson Hospital charges insurers about $29, or about $13 in cash — below the fair price — a good deal. Located in Jefferson Hills, 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 $6 - $292 6%
Blue Cross Blue Shieldmajor $22 - $146 21%
Aetnamajor $93 - $217 90%
Cignamajor $39 - $219 38%
Humanamajor $94 91%
AmeriHealth $93 90%
Medical Mutual $219 211%
Molina $97 93%
+ 8 smaller / regional plans $5 - $167
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 565 Coal Valley Road, Jefferson Hills, PA 15025
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals