CMS Price Transparency Data

Family therapy session

Facility: Gunnison Valley Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $86
Cash Discount Price: $89
vs. Medicare Baseline: 0.47x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Gunnison Valley Hospital is $86. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.47x the Medicare baseline. Located in 711 N Taylor St, Gunnison, CO.

Cash / Self-Pay

$89

Average discount available for prompt cash payment at this facility.

Insurance Median

$86

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: $89 (49%)

Insurance Median: $86 (47%)

Cash: $89 (49% of Medicare)

Ins. Median: $86 (47% 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
Gunnison County Sheriff Op & Profee Only	$46 - $62	25%
Ebms Hdhp	$54 - $72	30%
Tetwp Op & Profee Only-All Plans	$54 - $72	30%
U Of Co Transplant-All Plans	$54 - $72	30%
Ebms Ppo Plan-All Other Plans	$63 - $84	35%
Gunnison County Employees-All Other Plans	$72 - $96	40%
Scottish Rites-All Plans	$72 - $96	40%
Elap Employers-All Plans	$76 - $102	42%
Blue Cross Blue Shield	$79 - $105	44%
Multiplan-All Plans	$81 - $108	45%
Cofinity-All Plans	$86 - $115	47%
Rocky Mountain Health-All Plans	$86 - $114	47%
UnitedHealthcare	$86 - $114	47%
Medicaid / KanCare	$90	50%
Medicare (plans)	$104	57%
Aetna	$150	83%
Apostrophe-All Plans	$171	94%
Cigna	$171	94%

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 $89.
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 Gunnison Valley 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.