CMS Price Transparency Data

Group therapy session

Facility: Sweeny Community Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$106
about 1.0× the $104 Medicare rate · typically $23–$340
modeled estimate · not a bill or quote
What this hospital charges insurers
$259
Well above the fair price
about $153 over the fair price · 2.5× Medicare
Medicare pays $104 Fair price $106 This hospital $259 Cash price $155 Hospital's list price $259

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 $259

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 $106 (about 1.0× the $104 Medicare rate). Sweeny Community Hospital charges insurers about $259, or about $155 in cash — well above the fair price. Located in Sweeny, TX.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $106. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Cigna HumanaKaiser 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 $207 199%
Blue Cross Blue Shieldmajor $78 - $129 75%
Aetnamajor $150 - $207 145%
Cignamajor $168 162%
Amerigroup $150 - $258 145%
Molina $150 - $182 145%
WellCare $150 145%
+ 10 smaller / regional plans $129 - $251
Government programs also on file: Military & VA.
Excludes 3 rental-network / third-party entries (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: 305 North McKinney, Sweeny, TX 77480
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals