CMS Price Transparency Data

Family therapy session

Facility: Adventist Health Reedley

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $153
Cash Discount Price: $50
vs. Medicare Baseline: 0.84x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Adventist Health Reedley is $153. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.84x the Medicare baseline. Located in 372 W Cypress Ave, Reedley, CA.

Cash / Self-Pay

$50

Average discount available for prompt cash payment at this facility.

Insurance Median

$153

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: $50 (28%)

Insurance Median: $153 (84%)

Cash: $50 (28% of Medicare)

Ins. Median: $153 (84% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Healthnet Medi-Cal	$39	22%
Blue Cross Blue Shield	$109 - $121	60%
Healthnet- All Other Plans	$114	63%
Western Growers/Pinnacle- All Plans	$120	66%
Bc Mcal	$121	67%
Cal Viva Hlth Mcal - All Plans	$129	71%
Kern Health Systems Mcal-All Plans	$129	71%
Medi-Cal	$129	71%
Kaiser - All Other Plans	$130	72%
Blue Shield Epn - All Other Plans	$141	78%
Dignity Mcal Op/Profee Only-All Other Plans	$141	78%
Aetna	$142 - $619	78%
Blue Shield Non Epn	$163	90%
Community Care Ipa Mcal-All Plans	$167	92%
Cigna	$170	94%
Physicians Med Group Op/Profee Only- All Plans	$209	115%
Blue Shield Mcare	$375	207%
Dignity Mcr Adv Op/Profee Only	$375	207%
Fhcn Pace Mcr Adv-All Plans	$375	207%
Healthnet- Mcr Adv	$375	207%
Kaiser Mcr Adv	$375	207%
Phs Prime Health Srvcs	$375	207%
Tricare	$375	207%
Bright Health Mcr Adv - All Plans	$589	325%
Ah Employee Health Plan - All Plans	$676	373%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $50.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90847.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Reedley is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90847.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.