CMS Price Transparency Data

Group therapy session

Facility: Parkland Medical Center

Billing Code: 90853 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90853
Insurance Median: $467
Cash Discount Price: $829
vs. Medicare Baseline: 4.50x Medicare

The contracted insurance negotiated median rate for a Group therapy session at Parkland Medical Center is $467. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $829. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 4.50x the Medicare baseline. Located in 1 Parkland Drive, Derry, NH.

Cash / Self-Pay

$829

Average discount available for prompt cash payment at this facility.

Insurance Median

$467

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: $829 (799%)

Insurance Median: $467 (450%)

Cash: $829 (799% of Medicare)

Ins. Median: $467 (450% 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 450% of the Medicare baseline (a markup of 350%). 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
Amerihealth Caritas	$22 - $30	21%
Well Sense Health Plan	$52 - $72	50%
United	$147 - $583	142%
Maine Community Health	$218 - $509	210%
Cigna	$254 - $404	245%
Aetna	$416 - $641	401%
Blue Cross Blue Shield	$420	405%
Mvp Health Plan	$489 - $672	471%
Corvel	$503 - $691	485%
Tufts Health Plan	$549 - $566	529%
Healthcare Value Mgmt	$587 - $806	566%
First Health	$594 - $816	572%
Oxford Health Plans	$664 - $912	640%
Evernorth	$768	740%

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 $829.
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 Parkland 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.