CMS Price Transparency Data

Family therapy session

Facility: Northwest Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $191
  • Cash Discount Price: $194
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Northwest Medical Center is $191. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $194. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.05x the Medicare baseline. Located in 6200 North La Cholla Boulevard, Tucson, AZ.
Cash / Self-Pay
$194

Average discount available for prompt cash payment at this facility.

Insurance Median
$191

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: $194 (107%)
Insurance Median: $191 (105%)
Cash: $194 (107% of Medicare)
Ins. Median: $191 (105% 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 $96 - $103 53%
Blue Cross Blue Shield $97 - $647 53%
Magellan $101 - $196 56%
Veterans Eval Services $102 56%
Aetna $116 - $291 64%
Self Pay $155 - $233 85%
Cigna $186 - $194 103%
Humana $186 103%
Medicare (plans) $186 103%
Node Caremore Mcr Adv $186 103%
Scan Health Plan $186 103%
Pascua Yaqui Tribe $188 104%
Department Of Veterans Affairs $189 104%
Node Non Par Hospice Agree $189 104%
Node Va $189 104%
Tricare $189 104%
Triwest $189 104%
Fresenius Health $190 105%
Node Clover Health Mcr Adv $191 105%
Node Devoted Health Mcr Adv $192 106%
Node Banner Mcr Adv $196 108%
Wellcare $196 108%
Node Us Dept Of Labor $237 131%
Ambetter / Centene $267 147%
Node Health Choice Health Exchange $278 153%
Health Net $300 165%
UnitedHealthcare $324 179%
First Health Coventry $340 187%
Node Fusion Network $341 188%
Node J Allen Inmate Health Svcs $360 199%
Coventry Medical Center $388 214%
Seven Corners $436 240%
Multiplan $537 296%
Prime Health $550 303%
Healthsmart $582 321%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6200 North La Cholla Boulevard, Tucson, AZ 85741
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals