CMS Price Transparency Data

Group therapy session

Facility: Singing River Gulfport

Billing Code: 90853 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90853
Insurance Median: $95
Cash Discount Price: $68
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a Group therapy session at Singing River Gulfport is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 0.92x the Medicare baseline. Located in 15200 Community Road, Gulfport, MS.

Cash / Self-Pay

$68

Average discount available for prompt cash payment at this facility.

Insurance Median

$95

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: $68 (66%)

Insurance Median: $95 (92%)

Cash: $68 (66% of Medicare)

Ins. Median: $95 (92% 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
Cigna	$87 - $9,277	84%
UnitedHealthcare	$87 - $145	84%
Aetna	$89 - $92	86%
Humana	$89 - $92	86%
Blue Cross Blue Shield	$90 - $93	87%
Molina Healthcare Of Ms	$91 - $139	88%
Molina	$92	89%
Shared Health	$92 - $95	89%
Wellcare	$92 - $95	89%
Singing River Health System Employees	$98 - $104	94%
Ambetter / Centene	$131 - $136	126%
Mississippi Physicians Care Network	$157	151%
First Choice	$159	153%
Mississippi Physician'S Care Network	$163	157%
90 Degree Benefits	$166 - $172	160%
First Choice Preferred Pricing	$168	162%

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 $68.
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 Singing River Gulfport 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.