CMS Price Transparency Data

Family therapy session

Facility: Adventist Health Tehachapi Valley

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $158
Cash Discount Price: $70
vs. Medicare Baseline: 0.87x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Adventist Health Tehachapi Valley is $158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.87x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.

Cash / Self-Pay

$70

Average discount available for prompt cash payment at this facility.

Insurance Median

$158

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: $70 (39%)

Insurance Median: $158 (87%)

Cash: $70 (39% of Medicare)

Ins. Median: $158 (87% 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 Epn- All Other Plans	$110	61%
Western Grwrs/Pinnacle - All Plans	$110	61%
Aetna	$124	68%
Kaiser Medi-Cal Ip/Op Only	$129	71%
Medi-Cal	$129	71%
Universal Ipa Mcal Op/Profee Only	$129	71%
Blue Shield Non-Epn	$130	72%
Klhp-Kern Legacy Epo -All Other Plans	$130	72%
Bc Mcal	$132	73%
Blue Cross Blue Shield	$136 - $151	75%
Ah Employee Health Plan - All Plans	$138	76%
Healthnet Medi-Cal	$158	87%
Khs-Kern Hlth Systm Mcal	$166	92%
Healthnet- All Other Plans	$201	111%
Cigna	$204	112%
Coventry- All Plans	$235	130%
Oscar Health Plan- All Plans	$290	160%
Healthnet Mcare	$304	168%
Medicare (plans)	$304	168%
Tricare	$304	168%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla	$304	168%
Network Providers- All Plans	$389	215%
Kaiser Ip/Op Only- All Other Plans	$523	288%
Centivo - All Plans	$685	378%

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 $70.
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 Tehachapi Valley 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.