CMS Price Transparency Data

Family therapy session

Facility: Hazel Hawkins Memorial Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $417
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 2.30x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Hazel Hawkins Memorial Hospital is $417. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 2.30x the Medicare baseline. Located in 911 Sunset Drive, Hollister, CA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$417

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%)
Insurance Median: $417 (230%)
Ins. Median: $417 (230% 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 230% of the Medicare baseline (a markup of 130%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $96 - $129 53%
Blue Shield Mcare $106 58%
Caremore Med Adv - All Plans $106 58%
Kaiser Med Adv $106 58%
Central Hp Med Adv $111 61%
Kaiser Mcal $129 71%
Medi-Cal $129 71%
Valley Hp Mcal $129 71%
UnitedHealthcare $144 - $417 79%
Triwest - All Plans $172 95%
Tricare $178 98%
Ccah Mcal - All Plans $206 114%
Valley Hp Covered Ca $292 161%
Valley Hp Preferred $292 161%
Kaiser Comm - All Other Plans $328 181%
Blue Shield Of Ca - All Other Plans $337 186%
Valley Hp Classic - All Other Plans $350 193%
Beech Street Corp Ppo - All Plans $472 260%
Cigna $472 260%
Corvel Ppo - All Plans $472 260%
First Health Ppo - All Plans $472 260%
Great West Ppo - All Plans $472 260%
Nx Health Network - All Plans $472 260%
Interplan Ppo - All Plans $489 270%
Bce Emergis/Multi Ppo - All Plans $500 276%
Healthnet Hmo $500 276%
Healthnet Ppo - All Other Plans $500 276%
Metracomp Wc Ppo - All Plans $500 276%
One Hp Ppo - All Plans $500 276%
Admar Ppo - All Plans $506 279%
Pacific Hlth Alliance - All Plans $511 282%
Ccn Ppo - All Other Plans $528 291%
Choicecare Ppo/Hmo - All Plans $528 291%
Coastal Hlthcre Ppo/Hmo - All Plans $528 291%
Ccn (W/C) $556 307%
Central Coast Ppo - All Other Plans $556 307%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 911 Sunset Drive, Hollister, CA 95032
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals