CMS Price Transparency Data
Group therapy session
Facility: Nacogdoches Memorial Hospital
Billing Code: 90853 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$72
about 0.7× the $104 Medicare rate · typically $23–$215
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $72 Cash price $16 Hospital's list price $52
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✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 | $83 | 80% |
| Blue Cross Blue Shieldmajor | $29 - $42 | 28% |
| Aetnamajor | $42 | 40% |
| Humanamajor | $83 | 80% |
| Cigna HealthSpring | $87 | 84% |
| Health Net | $39 | 38% |
| Molina | $87 | 84% |
| WellMed | $83 | 80% |
| + 1 smaller / regional plan | $52 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Insurance Before you use insurance
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Other Procedures at Nacogdoches Memorial Hospital
Compare: Group therapy session at other TX hospitals
- Medical City Green Oaks Hospital · Dallas $17
- Rio Grande Regional Hospital · McAllen $18
- St David's Medical Center · Austin $19
- St David's South Austin Medical Center · Austin $19
- Round Rock Medical Center · Round Rock $19
- North Austin Medical Center · Austin $19
- Valley Regional Medical Center · Brownsville $20
- Cook Childrens Medical Center · Fort Worth $20
Insurance negotiated median for the same procedure, sorted lowest first.