CMS Price Transparency Data
Family therapy session
Facility: Palmetto General Hospital
Billing Code: 90847 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90847
- Insurance Median: $158
- Cash Discount Price: $304
- vs. Medicare Baseline: 0.87x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Palmetto General Hospital is $158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $304. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.87x the Medicare baseline. Located in 2001 W 68Th St, Hialeah, FL.
Cash / Self-Pay
$304
Average discount available for prompt cash payment at this facility.
Insurance Median
$158
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: $304 (168%)
Insurance Median: $158 (87%)
Cash: $304 (168% of Medicare)
Ins. Median: $158 (87% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Oscar Health Plan Hix | $19 | 10% |
| Imagine Health | $30 | 17% |
| Bc/Bs Of Fl Network Blue | $46 | 25% |
| Bc/Bs Of Fl Blue Select Exchange Non Par | $49 | 27% |
| Cigna | $53 - $163 | 29% |
| Bc/Bs Of Fl Health Options Hmo | $58 | 32% |
| Bc/Bs Myblue Hmo Hix | $61 | 34% |
| Bc/Bs Of Fl Miami Dade Blue Select | $61 | 34% |
| Bc/Bs Of Fl Simplyblue | $65 | 36% |
| Bc/Bs Of Fl Ppo | $76 | 42% |
| Medicaid / KanCare | $76 - $304 | 42% |
| Avmed Broad Network | $83 | 46% |
| Veterans Administration Mill Bill | $109 | 60% |
| Healthsun Health Plans | $110 - $163 | 61% |
| Humana | $118 - $152 | 65% |
| Self Pay/Uninsured | $130 - $194 | 72% |
| Employer Direct Healthcare | $133 - $158 | 73% |
| Medicare (plans) | $140 - $340 | 77% |
| Liga Contra El Cancer | $152 | 84% |
| Bc/Bs Of Fl Phs | $153 | 84% |
| Leon Health Inc | $155 | 85% |
| Aetna | $156 - $304 | 86% |
| Devoted Health | $156 | 86% |
| Tricare | $156 | 86% |
| UnitedHealthcare | $156 | 86% |
| Bristol Hospice- Miami Dade Llc | $158 | 87% |
| Catholic Hospice | $158 | 87% |
| Compassionate Care Hospice Of Miami Dade And The Fl Keys Inc | $158 | 87% |
| Hospice Other | $158 | 87% |
| Ima Evalutations Inc | $158 | 87% |
| Odyssey Healthcare Of Marion County Dba Kindred Hospice | $158 | 87% |
| Opuscare Of South Fl | $158 | 87% |
| Seasons Hospice And Pallative Care Of Southern Florida Inc | $158 | 87% |
| Select Specialty Hospital | $158 | 87% |
| Veterans Administration Vaccn | $158 | 87% |
| Vitas Healthcare Hospice | $158 | 87% |
| Westchester General Hospital | $158 | 87% |
| Longevity Health Plan | $166 | 92% |
| Magellan Behavioral Health | $183 | 101% |
| Florida Pace Centers | $187 | 103% |
| Bright Health Management Commercial | $190 | 105% |
| Dimensions International | $198 | 109% |
| First Health | $204 | 112% |
| Naphcare Inc | $218 | 120% |
| Dimension Health Ppo | $228 | 126% |
| Dimension Health Wc | $228 | 126% |
| Workers Compensation | $228 | 126% |
| Avmed Exchange | $277 | 153% |
| Ambetter / Centene | $292 | 161% |
| Molina Marketplace Program Exchange | $301 | 166% |
| Beacon Health Strategies Commercial | $304 | 168% |
| Commercial Non-Contracted | $304 | 168% |
| Self Pay - Mcd Pending 100 Percent | $304 | 168% |
| Single Case Agreement | $304 | 168% |
| United Behavioral Health Psych | $304 | 168% |
| Auto Insurance | $316 | 174% |
| Avmed Select Network | $323 | 178% |
| Amerihealth Caritas Next Exchange | $340 | 187% |