CMS Price Transparency Data

Group therapy session

Facility: Research Medical Center

Billing Code: 90853 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90853
Insurance Median: $908
Cash Discount Price: $2,329
vs. Medicare Baseline: 8.75x Medicare

The contracted insurance negotiated median rate for a Group therapy session at Research Medical Center is $908. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,329. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 8.75x the Medicare baseline. Located in 2316 E Meyer Blvd, Kansas City, MO.

Cash / Self-Pay

$2,329

Average discount available for prompt cash payment at this facility.

Insurance Median

$908

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: $2,329 (2244%)

Insurance Median: $908 (875%)

Cash: $2,329 (2244% of Medicare)

Ins. Median: $908 (875% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 875% of the Medicare baseline (a markup of 775%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Humana	$205 - $1,514	198%
College Park Family Care Center	$225 - $1,001	217%
Blue Cross Blue Shield	$303 - $908	292%
Ambetter / Centene	$433	417%
Nhc Advantage	$442	426%
Oscar	$442	426%
Healthyblue	$466	449%
Wppa Providrs Care Network	$466	449%
Aetna	$512 - $1,188	493%
Cigna	$578 - $1,164	557%
United	$585 - $1,048	564%
Universal Healthcare	$815	785%
Coventry	$936	902%
Coventry Kc Mo	$955	920%
Emerging Therapy Solutions	$1,118 - $1,164	1077%
Oha Network	$1,164	1121%
Multiplan	$1,234 - $1,863	1189%
Corvel Corporation	$1,514	1459%
Focus Healthcare Mgmt, Inc	$1,747	1683%
Triwest Health Alliance	$1,747	1683%
Cco, Inc.	$1,863	1795%
UnitedHealthcare	$2,073 - $2,329	1997%

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 $2,329.
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 Research 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.