CMS Price Transparency Data

Group therapy session

Facility: Parkland Health & Hospital System

Billing Code: 90853 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90853
Insurance Median: $60
Cash Discount Price: $120
vs. Medicare Baseline: 0.58x Medicare

The contracted insurance negotiated median rate for a Group therapy session at Parkland Health & Hospital System is $60. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $120. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 0.58x the Medicare baseline. Located in 5200 Harry Hines Blvd, Dallas, TX.

Cash / Self-Pay

$120

Average discount available for prompt cash payment at this facility.

Insurance Median

$60

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: $120 (116%)

Insurance Median: $60 (58%)

Cash: $120 (116% of Medicare)

Ins. Median: $60 (58% 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
Blue Cross Blue Shield	$21 - $301	20%
Care Improvement Plus [1104]	$21 - $87	20%
Delta Dental Insurance Company [1151]	$21	20%
Medicare (plans)	$21 - $23	20%
Procare Advantage [2104]	$21 - $89	20%
Triwest Healthcare Alliance [1409]	$21	20%
UnitedHealthcare	$21 - $279	20%
Wellcare Of Texas [1330]	$21	20%
Cook Children Health Plan [1380]	$27 - $66	26%
Wellpoint [1007]	$27 - $307	26%
Aetna	$29 - $323	28%
Molina Aca [1337]	$29	28%
Molina [1382]	$30 - $338	29%
Point Comfort Underwriters [1801]	$30 - $70	29%
Parkland Community Health Plan [1056]	$58 - $323	56%
Superior Health Plan [1402]	$58 - $66	56%
Cigna	$85 - $251	82%
Superior Healthplan [1383]	$247	238%
Great West Healthcare [1037]	$251	242%

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 $120.
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 Health & Hospital System 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.