Group psychotherapy session at Medical City Decatur

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

IOP PSY GRP (NOT FAMILY)

DECATUR, TX

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Pricing by billing methodology

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How this price compares nationally

Medical City Decatur’s median price of $123 is 12% above the median hospital's median price ($109), higher than 58% of the 1,704 hospitals reporting CPT 90853. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 90853 at Medical City Decatur

Negotiated rates from the hospital’s own file: 9 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Humana comm fee schedule · outpatient	$9.66	$9.66	$9.66 – $9.66
2	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$40.27	$40.27	$40.27 – $40.27
3	Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges	$40.27	$40.27	$40.27 – $40.27
4	Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges	$40.27	$40.27	$40.27 – $40.27
5	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$40.27	$40.27	$40.27 – $40.27
6	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$40.27	$40.27	$40.27 – $40.27
7	Aetna qhphix percent of total billed charges · outpatientfrom % of charges	$77.67	$77.67	$77.67 – $77.67
8	Cigna ifp percent of total billed charges · outpatientfrom % of charges	$77.67	$77.67	$77.67 – $77.67
9	Cigna qhp percent of total billed charges · outpatientfrom % of charges	$80.55	$80.55	$80.55 – $80.55
10	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$101.26	$101.26	$101.26 – $101.26
11	Aetna newbusiness percent of total billed charges · outpatientfrom % of charges	$114.49	$114.49	$114.49 – $114.49
12	Oscar hix percent of total billed charges · outpatientfrom % of charges	$119.67	$119.67	$119.67 – $119.67
13	Aetna meritain percent of total billed charges · outpatientfrom % of charges	$122.55	$122.55	$122.55 – $122.55
14	Aetna oon percent of total billed charges · outpatientfrom % of charges	$144.41	$144.41	$144.41 – $144.41
15	Cigna localplus percent of total billed charges · outpatientfrom % of charges	$151.89	$151.89	$151.89 – $151.89
16	Cigna newbusiness percent of total billed charges · outpatientfrom % of charges	$151.89	$151.89	$151.89 – $151.89
17	Cigna hmo percent of total billed charges · outpatientfrom % of charges	$169.72	$169.72	$169.72 – $169.72
18	Cigna networkbenefit percent of total billed charges · outpatientfrom % of charges	$169.72	$169.72	$169.72 – $169.72
19	Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges	$169.72	$169.72	$169.72 – $169.72
20	Healthcare Highways cityofplano percent of total billed charges · outpatientfrom % of charges	$194.46	$194.46	$194.46 – $194.46
21	Cigna allother percent of total billed charges · outpatientfrom % of charges	$214.60	$214.60	$214.60 – $214.60
22	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$255.45	$255.45	$255.45 – $255.45
23	Aetna comm percent of total billed charges · outpatientfrom % of charges	$271.27	$271.27	$122.55 – $419.99
24	Aetna asa percent of total billed charges · outpatientfrom % of charges	$303.20	$303.20	$303.20 – $303.20
25	MultiPlan primarynetwork percent of total billed charges · outpatientfrom % of charges	$402.73	$402.73	$402.73 – $402.73

Last updated: Mar 1, 2026

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