CMS Price Transparency Data

Family therapy session

Facility: The Medical Center of Aurora & South Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $419
Cash Discount Price: $997
vs. Medicare Baseline: 2.31x Medicare

The contracted insurance negotiated median rate for a Family therapy session at The Medical Center of Aurora & South Hospital is $419. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $997. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 2.31x the Medicare baseline. Located in 1501 S Potomac St, Aurora, CO.

Cash / Self-Pay

$997

Average discount available for prompt cash payment at this facility.

Insurance Median

$419

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: $997 (550%)

Insurance Median: $419 (231%)

Cash: $997 (550% of Medicare)

Ins. Median: $419 (231% 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 231% of the Medicare baseline (a markup of 131%). 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
Vail Health	$152	84%
Kaiser	$199 - $354	110%
United	$206 - $449	114%
Cigna	$215 - $638	119%
Pinnacol Workers Comp	$245	135%
Multiplan	$256 - $897	141%
Bright Health	$299	165%
Aetna	$325 - $526	179%
Colorado Program For Children With Special Needs	$419	231%
Western Plains Community Health	$648	357%
Northcare	$698	385%
Physician Health Partners	$698	385%
Blue Cross Blue Shield	$738	407%
Medical Development International	$797	440%
Prime Health	$897	495%

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 $997.
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 The Medical Center of Aurora & South 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.