CMS Price Transparency Data

Family therapy session

Facility: Loma Linda University Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $303
Cash Discount Price: $233
vs. Medicare Baseline: 1.67x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Loma Linda University Medical Center is $303. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $233. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.67x the Medicare baseline. Located in 11234 Anderson St, Loma Linda, CA.

Cash / Self-Pay

$233

Average discount available for prompt cash payment at this facility.

Insurance Median

$303

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: $233 (128%)

Insurance Median: $303 (167%)

Cash: $233 (128% of Medicare)

Ins. Median: $303 (167% 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
Adventist Health	$72 - $204	40%
Inland Empire Health Plan (Iehp)	$88 - $204	49%
Kaiser Foundation Hospitals	$97 - $369	53%
Lluh Dept Of Risk Management	$101	56%
Blue Shield Of California	$143 - $674	79%
Epic Health Plan	$144 - $276	79%
Blue Cross Blue Shield	$174 - $325	96%
UnitedHealthcare	$180 - $276	99%
Alpha Care Medical Group	$204 - $306	112%
Dignity Health	$204 - $306	112%
Upland Medical Group	$204	112%
Vantage Medical Group	$204 - $306	112%
Global Benefits Group	$215 - $332	119%
Temecula Valley Physicians Medical Group	$215 - $332	119%
Trivalley Medical Group	$215 - $332	119%
Prime Health Services	$216 - $470	119%
Aetna	$218 - $336	120%
Riverside University Health System	$225	124%
Cigna	$230 - $409	127%
Networks By Design	$233 - $359	128%
Multiplan	$269 - $415	148%
Molina Healthcare Of Ca	$274	151%
Central Health Plan	$287 - $442	158%
Galaxy Health	$305 - $470	168%
Health Management Network	$323 - $498	178%
Heritage Provider Network	$335	185%
Health Net	$610 - $800	336%

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 $233.
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 Loma Linda University Medical Center 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.