CMS Price Transparency Data

Family therapy session

Facility: Encino Hospital Medical Center

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 Encino Hospital Medical Center 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 16237 Ventura Blvd, Encino, 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
Aids Healthcare Foundation $51 - $232 28%
Blue Shield Of Promise $51 - $227 28%
Health Net Of Ca $51 - $332 28%
La Care Health Plan $51 - $227 28%
Molina $51 - $227 28%
Traditional Medi-Cal $51 28%
Blue Cross Blue Shield $94 52%
Blue Shield Of Ca, Va $109 60%
Alignment $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%
Brand New Day $229 - $341 126%
Imperial Health Plan Ca $241 133%
Corvel $284 157%
Zelis Healthcare $284 157%
Aetna $290 160%
Americas Choice Provider Network $290 160%
Multiplan $290 160%
Prime Health Services, Inc. $290 160%
Three Rivers $290 160%
Healthsmart Preferred Care Network $293 162%
Provider Select $296 163%
Provider Network Of America $299 165%
Workers Comp $299 165%
Employer Direct Healthcare $318 175%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16237 Ventura Blvd, Encino, CA 91436
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals