CMS Price Transparency Data

Group therapy session

Facility: Manning Regional Healthcare Center

Billing Code: 90853 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90853
Insurance Median: $32
Cash Discount Price: $40
vs. Medicare Baseline: 0.31x Medicare

The contracted insurance negotiated median rate for a Group therapy session at Manning Regional Healthcare Center is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 0.31x the Medicare baseline. Located in 1550 Sixth Street, Manning, IA.

Cash / Self-Pay

$40

Average discount available for prompt cash payment at this facility.

Insurance Median

$32

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$103.79

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $103.79 (100%)

Cash / Self-Pay: $40 (39%)

Insurance Median: $32 (31%)

Cash: $40 (39% of Medicare)

Ins. Median: $32 (31% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $103.79 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Medical Associates Mcr	$20 - $210	19%
Medicare (plans)	$20 - $210	19%
Merigold Mcr Adv-All Plans	$20 - $210	19%
Tricare	$20 - $210	19%
UnitedHealthcare	$20 - $39	19%
Iowa Total Care Mcaid-All Plans	$22 - $223	21%
Medicaid / KanCare	$22 - $226	21%
Medical Associates Comm-All Other Plans	$22 - $225	21%
Preferred Health - All Plans	$22 - $225	21%
Wellmark Hmo	$26 - $171	25%
Wellmark Ppo-All Other Plans	$26 - $188	25%
Aetna	$28 - $294	27%
Midlands Choice- All Plans	$28 - $294	27%
Oscar Epo-All Plans	$30 - $315	29%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $40.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90853.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Manning Regional Healthcare Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90853.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.