CMS Price Transparency Data

Family therapy session

Facility: Flagstaff Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $200
  • Cash Discount Price: $129
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Flagstaff Medical Center is $200. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $129. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.10x the Medicare baseline. Located in 1200 North Beaver Street, Flagstaff, AZ.
Cash / Self-Pay
$129

Average discount available for prompt cash payment at this facility.

Insurance Median
$200

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: $129 (71%)
Insurance Median: $200 (110%)
Cash: $129 (71% of Medicare)
Ins. Median: $200 (110% 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
UnitedHealthcare $90 - $239 50%
Health Choice $107 - $389 59%
University Of Arizona Health Plans $107 - $220 59%
Va Pccc Triwest $109 - $203 60%
Devoted $118 - $210 65%
Carefirst $129 71%
Mercy Care Rhba $129 71%
Self Pay $129 - $258 71%
Self-Pay 50% Discount $129 71%
Ahcccs $134 74%
Ahcccs Other $134 74%
Fmc Jail $134 74%
Health Choice Arizona $134 74%
Health Choice Integrated Care $134 74%
Health Net Of Arizona $134 74%
Mercy Care $134 74%
Nhi Out Of State Ahcccs $134 74%
Blue Cross Blue Shield $152 - $189 84%
Workers Comp $168 93%
Copperpoint $189 104%
Health Net Federal $189 104%
Aetna $191 - $220 105%
Naphcare $191 - $406 105%
Fmc 30/70 $200 110%
Humana $200 - $246 110%
Medicare (plans) $200 110%
Mercy Care Advantage $200 110%
Rehabilitation Hospital Of Northern Arizona $200 110%
Snf Fmc $200 110%
Wellcare $200 110%
Wellcare By Allwell $200 110%
Fmc Ihs $203 112%
Nau Athletic Department $207 114%
Ambetter / Centene $229 126%
Cigna $233 128%
Fmc 90/10 $233 128%
Rural Arizona Network Multiplan $233 128%
United Behavioral Health $258 142%
Pnoa $299 165%
Auto Insurance $5,000 2757%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 North Beaver Street, Flagstaff, AZ 86001
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals