CMS Price Transparency Data

Family therapy session

Facility: Valleywise Health Medical Center

Billing Code: 90847 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$126

about 0.7× the $181 Medicare rate · typically $94–$162

modeled estimate · not a bill or quote

What this hospital charges insurers

$110

Below the fair price — a good deal

about $16 under the fair price · 0.6× Medicare

Medicare pays $181 Fair price $126 This hospital $110 Cash price $218 Hospital's list price $355

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

Lowest price of the 9 AZ hospitals we have prices for — a strong deal.

Cheapest $110 Priciest $195

Black dot = this hospital, among the 9 AZ hospitals with a price for this procedure. Full list below.

A fair price for a Family therapy session is about $126 (about 0.7× the $181 Medicare rate). Valleywise Health Medical Center charges insurers about $110, or about $218 in cash — below the fair price — a good deal. Located in Phoenix, AZ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$93 - $304	51%
Blue Cross Blue Shieldmajor	$103 - $410	57%
Aetnamajor	$100 - $266	55%
Cignamajor	$99 - $328	55%
Humanamajor	$97 - $189	53%
Banner Health	$94 - $189	52%
Devoted Health	$103 - $189	57%
Health Net	$87 - $362	48%
Molina	$102 - $208	56%
Oscar Health	$119 - $205	66%
+ 12 smaller / regional plans	$99 - $367

Government programs also on file: Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 218), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90847.

Insurance Before you use insurance

Call your insurance company to confirm Valleywise Health Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 90847.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Valleywise Health Medical Center

Compare: Family therapy session at other AZ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.