Group therapy session
Facility: Methodist Hospital
Billing Code: 90853 (CPT)
- CPT Billing Code: 90853
- Insurance Median: $176
- Cash Discount Price: $569
- vs. Medicare Baseline: 1.70x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Superior Health | $16 - $34 | 15% |
| Community First Health Plans | $39 - $184 | 38% |
| Amerigroup | $45 - $95 | 43% |
| Imperial Insurance | $62 - $129 | 60% |
| Oscar | $65 - $136 | 63% |
| United | $81 - $306 | 78% |
| Aetna | $86 - $340 | 83% |
| Cigna | $94 - $263 | 91% |
| Blue Cross Blue Shield | $96 - $201 | 92% |
| Healthcare Highways | $100 - $210 | 96% |
| First Health | $143 - $300 | 138% |
| Fidelis Securecare | $146 - $306 | 141% |
| Emerging Therapy Solutions | $159 - $456 | 153% |
| National Choicecare | $162 - $340 | 156% |
| Texas Healthcare Foundation Heb | $162 - $340 | 156% |
| Tx Healthcare Foundation | $162 - $340 | 156% |
| Focus Health Solutions | $179 | 172% |
| Healthsmart Preferred Care | $179 - $374 | 172% |
| Independent Medical Systems | $179 - $374 | 172% |
| Physician Cooperative Of Texas | $179 - $374 | 172% |
| Haa Preferred Partners | $195 - $408 | 188% |
| San Antonio Employers Health Alliance | $195 - $408 | 188% |
| Valenz | $208 | 200% |
| Coastal Comp Health Networks | $211 - $442 | 203% |
| National Healthcare Solutions | $211 - $442 | 203% |
| Evry Health | $219 | 211% |
| Tml Intergovernmental Ebp | $227 - $476 | 219% |
| Multiplan | $243 - $578 | 234% |
| Triwest Health Alliance | $243 - $510 | 234% |
| Blue Bell | $260 - $544 | 251% |
| Directcare America | $260 - $544 | 251% |
| Usa Managed Care | $260 - $510 | 251% |
| Managed Healthcare | $276 | 266% |
| UnitedHealthcare | $325 - $680 | 313% |