CMS Price Transparency Data

Group therapy session

Facility: Texas Health Presbyterian Hospital Rockwall

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$94
about 0.9× the $104 Medicare rate · typically $56–$188
modeled estimate · not a bill or quote
What this hospital charges insurers
$107
About the fair price
about $13 over the fair price · 1.0× Medicare
Medicare pays $104 Fair price $94 This hospital $107

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 $107

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 $94 (about 0.9× the $104 Medicare rate). Texas Health Presbyterian Hospital Rockwall charges insurers about $107 — about the fair price. Located in Rockwall, 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 $113 - $115 109%
Blue Cross Blue Shieldmajor $102 98%
Humanamajor $106 102%
Amerigroup $107 103%
Cigna HealthSpring $104 100%
Molina $107 103%
WellCare $107 - $112 103%
+ 1 smaller / regional plan $102

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Facility Profile & Credentials

  • Address: 3150 Horizon Road, Rockwall, TX 75032
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals