CMS Price Transparency Data

Family therapy session

Facility: Atrium Health Floyd Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $235
Cash Discount Price: $222
vs. Medicare Baseline: 1.30x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Atrium Health Floyd Medical Center is $235. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $222. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.30x the Medicare baseline. Located in 304 Turner McCall Boulevard, Rome, GA.

Cash / Self-Pay

$222

Average discount available for prompt cash payment at this facility.

Insurance Median

$235

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: $222 (122%)

Insurance Median: $235 (130%)

Cash: $222 (122% of Medicare)

Ins. Median: $235 (130% 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
Amerigroup	$75	41%
Caresource	$76 - $235	42%
Peach State Health Plan	$76	42%
Awc Networks	$86	47%
Oscar Health Plan	$86 - $155	47%
Blue Cross Blue Shield	$157 - $332	87%
Cigna	$157 - $266	87%
Georgia Assurance	$157	87%
Humana	$157 - $288	87%
UnitedHealthcare	$157 - $332	87%
Aetna	$158 - $301	87%
Wellcare	$160	88%
Clover	$161	89%
Alliant Health Plans	$177 - $235	98%
Beacon	$222	122%
Evernorth	$222	122%
Ambetter / Centene	$235	130%
Occunet	$235	130%
Multiplan	$310	171%
Beech Street	$346	191%
Private Health Care Systems	$377	208%

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 $222.
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 Atrium Health Floyd Medical Center 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.