CMS Price Transparency Data

Group therapy session

Facility: Tops Surgical Specialty Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$107
about 1.0× the $104 Medicare rate · typically $29–$179
modeled estimate · not a bill or quote
What this hospital charges insurers
$35
Below the fair price — a good deal
about $72 under the fair price · 0.3× Medicare
Medicare pays $104 Fair price $107 This hospital $35

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 $35

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 $107 (about 1.0× the $104 Medicare rate). Tops Surgical Specialty Hospital charges insurers about $35 — below the fair price — a good deal. Located in Houston, TX.

What each insurance company pays

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

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
Ambetter (Centene) $35 - $4,848 34%
Health Net $49 47%
Oscar Health $30 29%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 17080 Red Oak Drive, Houston, TX 77090
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals