CMS Price Transparency Data

Family therapy session

Facility: Northwest Medical Center Sahuarita

Billing Code: 90847 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$183

about 1.0× the $181 Medicare rate · typically $137–$192

modeled estimate · not a bill or quote

What this hospital charges insurers

$192

About the fair price

about $9 over the fair price · 1.1× Medicare

Medicare pays $181 Fair price $183 This hospital $192 Cash price $184 Hospital's list price $647

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

A typical price — 3 charge more and 5 charge less, among the 9 AZ hospitals compared.

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 $183 (about 1.0× the $181 Medicare rate). Northwest Medical Center Sahuarita charges insurers about $192, or about $184 in cash — about the fair price. Located in Sahuarita, AZ.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor	$87 - $647	48%
Aetnamajor	$184 - $217	101%
Cignamajor	$186 - $194	103%
Humanamajor	$186	103%
Ambetter (Centene)	$267	147%
Banner Health	$196	108%
Clover Health	$191	105%
Devoted Health	$192	106%
WellCare	$196	108%
+ 8 smaller / regional plans	$96 - $360

Government programs also on file: Medicare, Medicaid, 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 184), 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 Northwest Medical Center Sahuarita 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 Northwest Medical Center Sahuarita

Compare: Family therapy session at other AZ hospitals

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