CMS Price Transparency Data

Group therapy session

Facility: Rio Grande Regional Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$68
about 0.7× the $104 Medicare rate · typically $17–$203
modeled estimate · not a bill or quote
What this hospital charges insurers
$18
Below the fair price — a good deal
about $50 under the fair price · 0.2× Medicare
Medicare pays $104 Fair price $68 This hospital $18

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

One of the lower prices — 7 of 8 other TX hospitals charge more for the same procedure.

Cheapest $17 Priciest $23

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 $68 (about 0.7× the $104 Medicare rate). Rio Grande Regional Hospital charges insurers about $18 — below the fair price — a good deal. Located in McAllen, TX.

What each insurance company pays

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

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

✓ Humana UnitedHealthcareBlue Cross Blue ShieldAetnaCignaKaiser 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
Humanamajor $18 17%

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Facility Profile & Credentials

  • Address: 101 E Ridge Rd, McAllen, TX 78503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals