CMS Price Transparency Data

Group therapy session

Facility: Corpus Christi Medical Center,The

Billing Code: 90853 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90853
Insurance Median: $584
Cash Discount Price: $2,039
vs. Medicare Baseline: 5.63x Medicare

The contracted insurance negotiated median rate for a Group therapy session at Corpus Christi Medical Center,The is $584. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,039. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 5.63x the Medicare baseline. Located in 3315 S Alameda St, Corpus Christi, TX.

Cash / Self-Pay

$2,039

Average discount available for prompt cash payment at this facility.

Insurance Median

$584

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$103.79

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $103.79 (100%)

Cash / Self-Pay: $2,039 (1965%)

Insurance Median: $584 (563%)

Cash: $2,039 (1965% of Medicare)

Ins. Median: $584 (563% of 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 563% of the Medicare baseline (a markup of 463%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Humana	$9	9%
Aetna	$29 - $44	28%
Superior Health Plan	$122	118%
Texas Athletic Network	$300 - $600	289%
Healthcare Highways	$391	377%
Texas Workforce Commission	$489	471%
Cigna	$500 - $569	482%
Averde Health	$673	648%
Blue Cross Blue Shield	$787	758%
Healthsmart Preferred Care	$877 - $1,733	845%
Fidelis Securecare Of Tx	$918	884%
Physicians Cooperative Of Texas	$1,121	1080%
Multiplan Phcs	$1,223	1178%
National Healthcare Solutions	$1,223	1178%
Olympus Managed Healthcare	$1,223	1178%
Southwest Medical	$1,223	1178%
Usc Health Services	$1,223	1178%
First Health	$1,258	1212%
Coastal Comp	$1,325	1277%
Newton Ppo	$1,427	1375%
Texas True Choice	$1,529	1473%
Beech Street	$1,631	1571%
Usa Managed Care	$1,631	1571%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,039.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90853.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Corpus Christi Medical Center,The is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90853.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.