CMS Price Transparency Data

Group therapy session

Facility: Texas Health Center for Diagnostics & Surgery Plan

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$91
about 0.9× the $104 Medicare rate · typically $55–$170
modeled estimate · not a bill or quote
What this hospital charges insurers
$93
About the fair price
about $2 over the fair price · 0.9× Medicare
Medicare pays $104 Fair price $91 This hospital $93

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 $93

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 $91 (about 0.9× the $104 Medicare rate). Texas Health Center for Diagnostics & Surgery Plan charges insurers about $93 — about the fair price. Located in Plano, TX.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $99 - $101 95%
Blue Cross Blue Shieldmajor $89 86%
Humanamajor $93 90%
Amerigroup $93 90%
Cigna HealthSpring $91 88%
Molina $93 90%
WellCare $93 - $98 90%
+ 1 smaller / regional plan $89

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Facility Profile & Credentials

  • Address: 6020 W Parker Road, Plano, TX 75093
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals