CMS Price Transparency Data

Family therapy session

Facility: Lucile Salter Packard Children's Hsp at Stanford

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $396
Cash Discount Price: $381
vs. Medicare Baseline: 2.18x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Lucile Salter Packard Children's Hsp at Stanford is $396. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $381. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 2.18x the Medicare baseline. Located in 725 Welch Road, Palo Alto, CA.

Cash / Self-Pay

$381

Average discount available for prompt cash payment at this facility.

Insurance Median

$396

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: $381 (210%)

Insurance Median: $396 (218%)

Cash: $381 (210% of Medicare)

Ins. Median: $396 (218% 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 218% of the Medicare baseline (a markup of 118%). 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
UnitedHealthcare	$258 - $28,538	142%
Cigna	$322 - $349	178%
Blue Shield	$370 - $515	204%
Blue Shield Out Of State	$370	204%
Blue Cross Blue Shield	$386	213%
Aetna	$396 - $506	218%
Meritain Health	$396	218%
Health Net	$8,000	4412%
Sutter	$28,538	15737%

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 $381.
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 Lucile Salter Packard Children's Hsp at Stanford 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.