CMS Price Transparency Data

Family therapy session

Facility: Good Samaritan Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $515
Cash Discount Price: $1,736
vs. Medicare Baseline: 2.84x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Good Samaritan Hospital is $515. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,736. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 2.84x the Medicare baseline. Located in 2425 Samaritan Drive, San Jose, CA.

Cash / Self-Pay

$1,736

Average discount available for prompt cash payment at this facility.

Insurance Median

$515

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: $1,736 (957%)

Insurance Median: $515 (284%)

Cash: $1,736 (957% of Medicare)

Ins. Median: $515 (284% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 284% of the Medicare baseline (a markup of 184%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Physicians Medical Group	$90	50%
Blue Cross Blue Shield	$99	55%
Blue Shield	$199 - $515	110%
Medcare Partners	$260	143%
Santa Clara Family Health Plan	$330	182%
Bright Health	$349	192%
Aetna	$361 - $368	199%
Cigna	$403 - $429	222%
Health Net	$404	223%
United	$443	244%
Santa Clara Ipa Comm	$868	479%
Santa Clara Ipa Mcr	$868	479%
Nx Health Network	$1,042	575%
Sutter Select	$1,042	575%
Multiplan	$1,128 - $1,389	622%
Humana	$1,215	670%
First Health	$1,319 - $1,736	727%
Healthsmart	$1,389 - $1,476	766%
Intercontinental Corporation	$1,389	766%
Pha Pacific Health Alliance	$1,389	766%
Ppo Next	$1,389	766%

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 $1,736.
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 Good Samaritan Hospital 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.