CMS Price Transparency Data

Family therapy session

Facility: Adventist Health Sonora

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $179
  • Cash Discount Price: $44
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Adventist Health Sonora is $179. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.99x the Medicare baseline. Located in 1000 Greenley Road, Sonora, CA.
Cash / Self-Pay
$44

Average discount available for prompt cash payment at this facility.

Insurance Median
$179

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: $44 (24%)
Insurance Median: $179 (99%)
Cash: $44 (24% of Medicare)
Ins. Median: $179 (99% 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
Medi-Cal $129 71%
Kaiser - All Plans $130 72%
UnitedHealthcare $134 - $224 74%
Central Ca Alliance Ccs Mcal $146 81%
Central Ca Alliance Chdp Mcal $146 81%
Central Ca Alliance Mcal $146 81%
Aetna $152 - $181 84%
Blue Shield Mcare $152 84%
Healthnet Mcr Adv $152 84%
Phs Prime Health Srvcs-All Plans $152 84%
Tricare $152 84%
Bc Exchange $156 86%
Bc Mcs $174 96%
Bc Non-Mcs - All Other Plans $174 96%
Celtic Ca Hlth Well Mcal - All Plans $177 98%
Western Growers/Pinnacle - All Plans $188 104%
Healthnet Mcal $191 105%
Blue Shield - All Other Plans $198 109%
Blue Shield Epn $198 109%
Trpn - Three Rivers Ppo - All Plans $209 115%
Beech Street- All Plans $222 122%
Greatwest Oa/Pos/Hmo $222 122%
Healthnet - All Other Plans $229 126%
Affordable Health - All Plans $235 130%
Greatwest Ppo - All Other Plans $235 130%
Interplan - All Plans $235 130%
Multiplan - All Plans $235 130%
Phcs Ppo - All Plans $235 130%
Cigna $248 137%
Stanilaus Foundation - All Plans $248 137%
Ah Employee Health Plan - All Plans $274 151%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Greenley Road, Sonora, CA 95370
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals