CMS Price Transparency Data
Group therapy session
Facility: HCA Houston Healthcare Tomball
Billing Code: 90853 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$77
about 0.7× the $104 Medicare rate · typically $13–$217
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $77 Cash price $246 Hospital's list price $246
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 | $41 - $111 | 40% |
| Blue Cross Blue Shieldmajor | $86 | 83% |
| Aetnamajor | $55 - $90 | 53% |
| Cignamajor | $36 - $47 | 35% |
| Humanamajor | $13 | 13% |
| Healthcare Highways | $63 | 61% |
| Oscar Health | $48 | 46% |
| + 3 smaller / regional plans | $32 - $98 |
Government programs also on file: Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at HCA Houston Healthcare Tomball
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.