CMS Price Transparency Data

Family therapy session

Facility: La Palma Intercommunity Hospital

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 La Palma Intercommunity Hospital 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 7901 Walker Street, La Palma, 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.

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
Blue Shield Of Promise	$51 - $227	28%
Caloptima	$51	28%
County Of Orange (Msn)	$51	28%
La Care Health Plan	$51 - $227	28%
Molina	$51 - $227	28%
Traditional Medi - Cal	$51	28%
Health Net Of Ca	$55 - $332	30%
Blue Cross Blue Shield	$94	52%
Blue Shiled Of Ca Triwest	$109	60%
Managed Health Network	$227	125%
Medicare (plans)	$227	125%
Renal Payer Solutions	$227	125%
Tricare	$227	125%
Verda Healthplan	$227	125%
Brand New Day	$229 - $341	126%
Imperial Health Plan Of Ca	$241	133%
Aetna	$290	160%
Ca Foundation For Medical Care	$299	165%
Workers Compensation	$299	165%
Employer Direct Healthcare	$318	175%

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 $227.
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 La Palma Intercommunity 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.