CMS Price Transparency Data

Family therapy session

Facility: Phoebe Sumter Medical Center

Billing Code: 90847 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$173
about 1.0× the $181 Medicare rate · typically $161–$206
modeled estimate · not a bill or quote
Medicare pays $181 Fair price $173 Cash price $97 Hospital's list price $161

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Aetnamajor $159 - $241 88%
Ambetter (Centene) $272 150%
Clover Health $160 88%
+ 2 smaller / regional plans $163 - $226

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 126 Highway 280 W, Americus, GA 31719
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals