CMS Price Transparency Data

Group therapy session

Facility: The Heart Hospital Baylor Denton

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$91
about 0.9× the $104 Medicare rate · typically $63–$138
modeled estimate · not a bill or quote
What this hospital charges insurers
$86
About the fair price
about $5 under the fair price · 0.8× Medicare
Medicare pays $104 Fair price $91 This hospital $86 Cash price $402 Hospital's list price $670

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 $86

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 $91 (about 0.9× the $104 Medicare rate). The Heart Hospital Baylor Denton charges insurers about $86, or about $402 in cash — about the fair price. Located in Denton, TX.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $164 - $185 158%
Blue Cross Blue Shieldmajor $86 - $515 83%
Aetnamajor $147 - $456 142%
Cignamajor $132 - $622 127%
Humanamajor $82 - $750 79%
Ambetter (Centene) $169 163%
Baylor Scott & White $78 - $622 75%
Cigna HealthSpring $86 83%
Health Net $147 - $590 142%
+ 6 smaller / regional plans $86 - $804
Government programs also on file: Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 2801 South Mayhill Road, Denton, TX 76208
  • CMS Rating: ★★★★★
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals