CMS Price Transparency Data

Family therapy session

Facility: Palm Bay Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $316
Cash Discount Price: $105
vs. Medicare Baseline: 1.74x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Palm Bay Hospital is $316. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $105. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.74x the Medicare baseline. Located in 1425 Malabar Rd, Ne, Palm Bay, FL.

Cash / Self-Pay

$105

Average discount available for prompt cash payment at this facility.

Insurance Median

$316

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: $105 (58%)

Insurance Median: $316 (174%)

Cash: $105 (58% of Medicare)

Ins. Median: $316 (174% 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
Health First Health Plan	$102 - $173	56%
UnitedHealthcare	$124 - $421	68%
Florida Healthcare Plans	$133	73%
Cigna	$162 - $173	89%
Corizon Health	$185	102%
Disney Cruise Line	$253	140%
Aetna	$281 - $463	155%
Florida Blue	$283 - $303	156%
Prime Heath Services, Inc.	$316	174%
Multiplan	$337	186%
Amerigroup	$421	232%
Humana	$421	232%
Molina Healthcare	$421 - $472	232%
Sunshine Health Plan	$442	244%

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 $105.
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 Palm Bay 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.