CMS Price Transparency Data

Family therapy session

Facility: Paradise Valley Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $227
  • Cash Discount Price: $227
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Paradise Valley Hospital is $227. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $227. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.25x the Medicare baseline. Located in 2400 East 4Th St, National City, CA.
Cash / Self-Pay
$227

Average discount available for prompt cash payment at this facility.

Insurance Median
$227

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: $227 (125%)
Insurance Median: $227 (125%)
Cash: $227 (125% of Medicare)
Ins. Median: $227 (125% 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
Aetna $51 - $290 28%
Blue Sheid Of Promise $51 28%
County Of San Diego $51 28%
Golden Physicians Medical Group $51 - $284 28%
Health Excel Ins $51 - $227 28%
Heritage Provider Netwrok $51 - $295 28%
Molina $51 - $227 28%
Traditional Medi-Cal $51 28%
UnitedHealthcare $51 - $227 28%
Health Net Of Ca $55 - $332 30%
Community Health Group $61 - $227 34%
Blue Shield Of Ca, Va $108 60%
Ca Foundation For Medical Care $227 125%
Central Health $227 125%
Choice Physicians Network $227 125%
Clever Care Of Golden State, Inc $227 125%
Managed Health Network $227 125%
Medicare (plans) $227 125%
Renal Payer Solutions $227 125%
Tricare $227 125%
Usa Senior Care Network $227 125%
Verda Health Plan $227 125%
Brand New Day $229 - $341 126%
Imperial Health Plan Of Ca $241 133%
Health Net Federal Service (Cdcr) $284 157%
Veterans Evaluation Services $284 157%
Worker Comp $299 165%
Integrated Medical Solutions $300 165%
Ca Dept Of Correction & Rehab $318 175%
Employer Direct Healthcare $318 175%
Naphcare $352 - $454 194%
Scripps Health $386 213%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 East 4Th St, National City, CA 91950
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals