CMS Price Transparency Data

Group therapy session

Facility: Christus Santa Rosa Hospital-San Marcos

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$95
about 0.9× the $104 Medicare rate · typically $49–$158
modeled estimate · not a bill or quote
What this hospital charges insurers
$92
About the fair price
about $3 under the fair price · 0.9× Medicare
Medicare pays $104 Fair price $95 This hospital $92

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 $92

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 $95 (about 0.9× the $104 Medicare rate). Christus Santa Rosa Hospital-San Marcos charges insurers about $92 — about the fair price. Located in San Marcos, TX.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 $90 87%
Aetnamajor $91 88%
Cignamajor $92 89%
Humanamajor $90 - $121 87%
Amerigroup $97 93%
Devoted Health $97 93%
Healthcare Highways $227 219%
WellCare $90 87%
+ 6 smaller / regional plans $90 - $153
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1301 Wonder World Drive, San Marcos, TX 78666
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals