CMS Price Transparency Data

Group therapy session

Facility: Jefferson Einstein Montgomery Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$102
about 1.0× the $104 Medicare rate · typically $45–$110
modeled estimate · not a bill or quote
What this hospital charges insurers
$97
About the fair price
about $5 under the fair price · 0.9× Medicare
Medicare pays $104 Fair price $102 This hospital $97 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 $97

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 $102 (about 1.0× the $104 Medicare rate). Jefferson Einstein Montgomery Hospital charges insurers about $97, or about $108 in cash — about the fair price. Located in East Norriton, 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 $93 90%
Blue Cross Blue Shieldmajor $96 92%
Aetnamajor $87 - $97 84%
Cignamajor $95 92%
Humanamajor $92 89%
Geisinger $105 - $373 101%
UPMC Health Plan $96 92%
WellCare $101 97%
+ 2 smaller / regional plans $97 - $128

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 559 West Germantown Pike, East Norriton, PA 19403
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals