CMS Price Transparency Data

Family therapy session

Facility: Medstar Georgetown University Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $376
Cash Discount Price: $523
vs. Medicare Baseline: 2.07x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Medstar Georgetown University Hospital is $376. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $523. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 2.07x the Medicare baseline. Located in 3800 Reservoir Rd, Washington, DC.

Cash / Self-Pay

$523

Average discount available for prompt cash payment at this facility.

Insurance Median

$376

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: $523 (288%)

Insurance Median: $376 (207%)

Cash: $523 (288% of Medicare)

Ins. Median: $376 (207% 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 207% of the Medicare baseline (a markup of 107%). 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
Carefirst Advantage Inc	$210	116%
Tricare	$210	116%
UnitedHealthcare	$210 - $281	116%
Aetna	$216 - $514	119%
Health Care Service Corporation	$220	121%
Humana	$220	121%
Blue Cross Blue Shield	$247	136%
Amerigroup	$335	185%
Amerihealth Caritas District Of Columbia	$335	185%
Hscsn	$335	185%
Medstar Family Choice Inc	$335 - $466	185%
Carefirst Blue Choice Inc	$418	231%
Cigna	$519	286%
Pfc	$522	288%
Private Healthcare Systems (Phcs)	$643	355%
First Health	$683	377%
Beech Street	$723	399%

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 $523.
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 Medstar Georgetown University 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.