CMS Price Transparency Data

Family therapy session

Facility: Craig Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $254
  • Cash Discount Price: $270
  • vs. Medicare Baseline: 1.40x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Craig Hospital is $254. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $270. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.40x the Medicare baseline. Located in 3425 S Clarkson St, Englewood, CO.
Cash / Self-Pay
$270

Average discount available for prompt cash payment at this facility.

Insurance Median
$254

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: $270 (149%)
Insurance Median: $254 (140%)
Cash: $270 (149% of Medicare)
Ins. Median: $254 (140% 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.

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
Veterans Administration $136 75%
UnitedHealthcare $153 - $553 84%
Cigna $156 - $562 86%
Cms $160 88%
Kaiser $160 - $578 88%
Blue Cross Blue Shield $163 - $589 90%
Carisk Outcomes $169 - $612 93%
Zenith $183 - $663 101%
Aetna $192 - $693 106%
Corvel Worker'S Comp $198 - $713 109%
Liberty Mutual Worker'S Comp $198 - $713 109%
Paradigm $198 - $713 109%
Rocky Mountain Health Plan $206 - $744 114%
Midwest Employers Casualty $209 - $754 115%
Coventry/First Health $212 - $764 117%
Fcci Worker'S Comp $212 - $764 117%
Geha/Ppo Usa $212 - $764 117%
Great-West Healthcare $212 - $764 117%
Prime Health Services $215 - $775 119%
First Choice Health $220 - $795 121%
Multiplan/Phcs $223 - $805 123%
Focus Worker'S Comp $226 - $815 125%
General Reinsurance $226 - $866 125%
Provider Network Of America $226 - $815 125%
Three Rivers Provider Network $226 - $836 125%
Wyoming Worker'S Comp $226 - $815 125%
Allstate $240 - $866 132%
Tricare $240 - $866 132%
National Provider Network $254 - $917 140%
Up & Up $254 - $917 140%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3425 S Clarkson St, Englewood, CO 80113
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL