CMS Price Transparency Data

Family therapy session

Facility: Medical West, An Affiliate of UAB Health System

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $160
Cash Discount Price: $140
vs. Medicare Baseline: 0.88x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Medical West, An Affiliate of UAB Health System is $160. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $140. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.88x the Medicare baseline. Located in 995 9Th Avenue Southwest, Bessemer, AL.

Cash / Self-Pay

$140

Average discount available for prompt cash payment at this facility.

Insurance Median

$160

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)

Cash / Self-Pay: $140 (77%)

Insurance Median: $160 (88%)

Cash: $140 (77% of Medicare)

Ins. Median: $160 (88% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Cigna	$46 - $169	25%
Viva	$93 - $187	51%
Phcs	$112 - $130	62%
Beech Street	$115 - $130	63%
One Health Plan	$121	67%
Aetna	$130 - $162	72%
Geha	$130	72%
Healthchoice	$130	72%
Alamed	$146	81%
Construction Claims Management	$150	83%
Multiplan	$153	84%
Corvel	$154 - $167	85%
Novanet	$155	85%
Humana	$158 - $172	87%
UnitedHealthcare	$160 - $179	88%
Blue Cross Blue Shield	$161	89%
Cooper Green	$162	89%
Department Of Labor	$162	89%
Heritage Summit Health	$162	89%
Jefferson County Sheriff	$162	89%
Triwest	$162	89%
United Mine Workers	$162	89%
Pnoa	$167	92%
Three Rivers	$167	92%
Ambetter / Centene	$223	123%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $140.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90847.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Medical West, An Affiliate of UAB Health System is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90847.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.