CMS Price Transparency Data

Group therapy session

Facility: Glenwood Regional Medical Center

Billing Code: 90853 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90853
Insurance Median: $151
Cash Discount Price: $235
vs. Medicare Baseline: 1.45x Medicare

The contracted insurance negotiated median rate for a Group therapy session at Glenwood Regional Medical Center is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $235. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 1.45x the Medicare baseline. Located in 503 McMillan Road, West Monroe, LA.

Cash / Self-Pay

$235

Average discount available for prompt cash payment at this facility.

Insurance Median

$151

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: $235 (226%)

Insurance Median: $151 (145%)

Cash: $235 (226% of Medicare)

Ins. Median: $151 (145% 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
Medicaid / KanCare	$20	19%
UnitedHealthcare	$20 - $235	19%
Dignity Care Health Plan	$29 - $82	28%
Self Pay Emergent	$35	34%
Humana	$72	69%
Medicare (plans)	$74 - $82	71%
Caresact	$75	72%
Hospice	$75	72%
Patients Choice Hospice	$75	72%
Tricare	$75	72%
Coventry Healthcare	$102 - $104	98%
Ppo Plus	$123 - $165	119%
Insyss	$126	121%
Verity Healthnet Inc	$134	129%
Cigna	$140	135%
Ford Beacon Davis	$148	143%
Texas Workers Compensation	$151	145%
Aetna	$153	147%
Iasis Employees	$159	153%
Gilsbar 360 Alliance	$165	159%
Blue Cross Blue Shield	$178	172%
Three Rivers Provider Network	$200	193%
Verity Healthnet	$200	193%
Galaxy Health Network	$212	204%
Vantage Health Plan	$218	210%
Commercial Non-Contracted	$235	226%
Medsolutions	$235	226%
Mhnet	$235	226%
Self Pay - Mcd Pending 100 Percent	$235	226%
Single Case Agreement	$235	226%

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 $235.
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 Glenwood Regional Medical 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.