CMS Price Transparency Data

Group therapy session

Facility: Doctors Hosptal at Renaissance

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$89
about 0.9× the $104 Medicare rate · typically $58–$111
modeled estimate · not a bill or quote
What this hospital charges insurers
$96
About the fair price
about $7 over the fair price · 0.9× Medicare
Medicare pays $104 Fair price $89 This hospital $96 Cash price $298 Hospital's list price $298

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 $96

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Group therapy session is about $89 (about 0.9× the $104 Medicare rate). Doctors Hosptal at Renaissance charges insurers about $96, or about $298 in cash — about the fair price. Located in Edinburg, TX.

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 $37 - $51 36%
Blue Cross Blue Shieldmajor $82 - $139 79%
Aetnamajor $87 - $139 84%
Humanamajor $91 88%
Molina $96 - $114 92%
WellCare $96 92%
+ 2 smaller / regional plans $96 - $139
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 5501 South McColl, Edinburg, TX 78539
  • CMS Rating: ★★★☆☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals