CMS Price Transparency Data

Group therapy session

Facility: Baylor Scott & White Medical Center Hillcrest

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$104
about 1.0× the $104 Medicare rate · typically $59–$176
modeled estimate · not a bill or quote
What this hospital charges insurers
$90
Below the fair price — a good deal
about $14 under the fair price · 0.9× Medicare
Medicare pays $104 Fair price $104 This hospital $90 Cash price $146 Hospital's list price $244

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $17 Priciest $90

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Group therapy session is about $104 (about 1.0× the $104 Medicare rate). Baylor Scott & White Medical Center Hillcrest charges insurers about $90, or about $146 in cash — below the fair price — a good deal. Located in Waco, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $94 - $193 91%
Blue Cross Blue Shieldmajor $86 - $321 83%
Aetnamajor $134 - $229 129%
Cignamajor $125 - $147 120%
Humanamajor $82 - $171 79%
Baylor Scott & White $77 - $135 74%
+ 10 smaller / regional plans $80 - $183
Government programs also on file: Medicaid, Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 100 Hillcrest Medical Blvd, Waco, TX 76712
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals