CMS Price Transparency Data

Group therapy session

Facility: Satanta District Hospital, Clinics, & Ltcu

Billing Code: 90853 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90853
  • Insurance Median: $61
  • Cash Discount Price: $144
  • vs. Medicare Baseline: 0.59x Medicare
The contracted insurance negotiated median rate for a Group therapy session at Satanta District Hospital, Clinics, & Ltcu is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $144. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 0.59x the Medicare baseline. Located in 401 Cheyenne, Satanta, KS.
Cash / Self-Pay
$144

Average discount available for prompt cash payment at this facility.

Insurance Median
$61

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: $144 (139%)
Insurance Median: $61 (59%)
Cash: $144 (139% of Medicare)
Ins. Median: $61 (59% 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.

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
Direct Benefit-All Plans $14 - $63 13%
UnitedHealthcare $17 - $263 16%
Berkley Net-All Plans $23 - $105 22%
Meritain Health-All Plans $26 - $118 25%
Trustmark Health Benefits-All Plans $26 - $116 25%
Aetna $26 - $179 25%
Ambetter / Centene $28 - $126 27%
Pinnacol-All Plans $32 - $147 31%
Axa Equitable - All Plans $32 - $145 31%
Medi-Share-All Plans $33 - $150 32%
Presbyterian-All Plans $35 - $160 34%
Kasb Work Comp - All Plans $37 - $168 36%
The Kempton Group Admin-All Plans $40 - $181 39%
Auxiant - All Plans $41 - $184 40%
Gpha(Wppa)-All Other Plans $41 - $184 40%
Wppa- All Plans $41 - $187 40%
Providers Care Network- All Plans $42 - $189 40%
Sisco-All Plans $42 - $189 40%
Gpha Employee Benefit Plan $42 - $192 40%
Emc-All Plans $42 - $189 40%
Regional Care(Wppa)-All Plans $44 - $197 42%
First Health -All Plans $44 - $200 42%
Triangle-All Plans $44 - $200 42%
Employee Benefit-All Plans $44 - $197 42%
One Call Physician-All Plans $45 - $203 43%
Tricare $46 - $210 44%
Christian Hospital Aid - All Plans $46 - $210 44%
Blue Cross Blue Shield $46 - $208 44%
Humana $50 - $226 48%
Cigna $51 - $231 49%
Luminare Health- All Plans $51 - $231 49%
Deseret Mutual(Uhis)-All Plans $52 - $237 50%
Coresource-All Plans $52 - $237 50%
Vaccn-All Plans $53 - $242 51%
Reserve National-All Plans $55 - $250 53%
Wps Vapc-All Plans $55 - $250 53%
Hma Llc-All Plans $55 - $250 53%
Medicaid / KanCare $58 - $263 56%

Consumer Guidance & Cost Commentary

For this group therapy session (CPT 90853) at Satanta District Hospital in Kansas, the facility's cash price of $144.00 is notably lower than the state average for this service, which ranges from $14 to $263 across 38 different payers. While the facility's negotiated rates with insurance plans vary widely—starting at $14 for some Direct Benefit plans and reaching up to $263 for Medicaid/KanCare—the cash price often provides a more predictable cost for patients with high-deductible plans or those without coverage. It is important to note that commercial insurance negotiated rates frequently include administrative overhead and do not reflect the actual cost of care, which is why comparing these rates to the Medicare benchmark of $103.79 reveals the true baseline for pricing.

Patients should be aware that while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, unexpected charges can still occur if ancillary services are billed separately. To ensure you receive the most accurate pricing, always request a full itemized bill before paying, as summary bills may obscure errors or unbundled charges. Additionally, since the facility offers prompt-pay discounts for upfront payment, you should explicitly ask to be classified as a self-pay patient prior to scheduling your visit to secure the best possible rate and avoid unnecessary administrative fees.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 Cheyenne, Satanta, KS 67870
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals