CMS Price Transparency Data

Group therapy session

Facility: St Luke's Hospital - Carbon Campus

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$94
about 0.9× the $104 Medicare rate · typically $47–$97
modeled estimate · not a bill or quote
What this hospital charges insurers
$94
About the fair price
0.9× Medicare
Medicare pays $104 Fair price $94 This hospital $94 Cash price $149 Hospital's list price $180

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 $94 (about 0.9× the $104 Medicare rate). St Luke's Hospital - Carbon Campus charges insurers about $94, or about $149 in cash — about the fair price. Located in Lehighton, 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 $52 - $99 50%
Blue Cross Blue Shieldmajor $31 - $259 30%
Aetnamajor $62 - $94 60%
Cignamajor $49 47%
Humanamajor $96 92%
Geisinger $51 - $94 49%
Oscar Health $47 45%
UPMC Health Plan $49 - $97 47%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 500 St Luke's Drive, Lehighton, PA 18235
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals