CMS Price Transparency Data
Family therapy session
Facility: Mercy Hospital Berryville
Billing Code: 90847 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90847
- Insurance Median: $189
- Cash Discount Price: $315
- vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Mercy Hospital Berryville is $189. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $315. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.04x the Medicare baseline. Located in 214 Carter Street, Berryville, AR.
Cash / Self-Pay
$315
Average discount available for prompt cash payment at this facility.
Insurance Median
$189
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: $315 (174%)
Insurance Median: $189 (104%)
Cash: $315 (174% of Medicare)
Ins. Median: $189 (104% 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.
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 |
|---|---|---|
| Medicaid / KanCare | $94 - $188 | 52% |
| Aetna | $123 | 68% |
| American Health Advantage Of Mo Mcr [20264] | $123 | 68% |
| Blue Cross Blue Shield | $123 - $189 | 68% |
| Cherokee Nation Health Serv Contracted [320066] | $123 | 68% |
| Cross Timbers Hospice [20098] | $123 | 68% |
| Dept Of Veteran Affairs Contracted [320106] | $123 | 68% |
| Elara Caring Aspire Hospice [20433] | $123 | 68% |
| Globalhealth Contracted [320145] | $123 | 68% |
| Halo Hcr Inc Hospice Contracted [320432] | $123 | 68% |
| Halo Hcr Inc Hospice [20432] | $123 | 68% |
| Humana | $123 - $411 | 68% |
| Independent Health [20197] | $123 | 68% |
| Indian Health Service Contracted [320198] | $123 | 68% |
| Indian Health Service [20198] | $123 | 68% |
| Jordan Valley Senior Care Pace [20515] | $123 | 68% |
| Kindful Hospice Contracted [320434] | $123 | 68% |
| Kindful Hospice [20434] | $123 | 68% |
| Medical Associates Health [20444] | $123 | 68% |
| Medicare (plans) | $123 - $130 | 68% |
| Mercy Hospice Okc [20252] | $123 | 68% |
| Mercy Mgd Behavioral Health Contracted [320259] | $123 | 68% |
| Pace Of The Ozarks [20518] | $123 | 68% |
| Provider Partners Health Plans Contracted [320450] | $123 | 68% |
| Qual Choice Contracted [320325] | $123 | 68% |
| Spina Bifida Hlthcare Benefit [20506] | $123 | 68% |
| UnitedHealthcare | $123 - $290 | 68% |
| Valir Pace [20503] | $123 | 68% |
| Wellfirst Health Mcr [20443] | $123 | 68% |
| Tricare | $126 | 69% |
| Cigna | $130 | 72% |
| Mercy Interfacility [20513] | $141 | 78% |
| Healthscope Contracted [320182] | $154 | 85% |
| Ambetter / Centene | $188 | 104% |
| Home State Health Plan Contracted [320187] | $188 | 104% |
| Novasys Contracted [320285] | $196 | 108% |
| Administrative Payor Contracted [320005] | $218 | 120% |
| Auxiant Contracted [320462] | $290 - $436 | 160% |
| United Medical Resources Contracted [320454] | $290 - $411 | 160% |
| Healthlink Contracted [320179] | $315 - $411 | 174% |
| Mercy Benefit Admin Contracted [320251] | $315 - $411 | 174% |
| Personify Health Contracted [320051] | $315 | 174% |
| Preferred Health Plan Contracted [320522] | $315 | 174% |
| Qual Choice Contracted [320324] | $332 | 183% |
| Insurance System Inc Contracted [320465] | $387 | 213% |
| Point C Contracted [320238] | $387 | 213% |
| Medica Contracted [320239] | $409 | 226% |
| 90 Degree Benefits Contracted [320436] | $411 | 227% |
| Aither Health Contracted [320449] | $411 | 227% |
| Benefit Management Contracted [320052] | $411 | 227% |
| Ebms Contracted [320493] | $411 | 227% |
| Edison Health Solutions Contracted [320502] | $411 | 227% |
| First Health Contracted [320128] | $411 | 227% |
| Healthsmart Preferred Care Contracted [320184] | $411 | 227% |
| Imagine 360 Contracted [320494] | $411 | 227% |
| Ppo Plus Contracted [320310] | $411 | 227% |
| Reflect Health Contracted [320492] | $411 | 227% |
| Show-Me Health Administrators Contracted [320483] | $411 | 227% |
| Multiplan Contracted [320270] | $460 | 254% |
| Private Health Care Systems Contracted [320320] | $460 | 254% |