CMS Price Transparency Data

Family therapy session

Facility: Grady Memorial Hospital

Billing Code: 90847 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$180

about 1.0× the $181 Medicare rate · typically $117–$274

modeled estimate · not a bill or quote

What this hospital charges insurers

$108

Below the fair price — a good deal

about $72 under the fair price · 0.6× Medicare

Medicare pays $181 Fair price $180 This hospital $108 Cash price $1,054 Hospital's list price $1,054

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

One of the lower prices — 6 of 8 other GA hospitals charge more for the same procedure.

Cheapest $65 Priciest $158

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Family therapy session is about $180 (about 1.0× the $181 Medicare rate). Grady Memorial Hospital charges insurers about $108, or about $1,054 in cash — below the fair price — a good deal. Located in Atlanta, GA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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
UnitedHealthcaremajor	$103 - $759	57%
Blue Cross Blue Shieldmajor	$103 - $843	57%
Aetnamajor	$103 - $469	57%
Cignamajor	$103 - $623	57%
Humanamajor	$103 - $160	57%
Kaiser Permanentemajor	$103 - $799	57%
Ambetter (Centene)	$103 - $160	57%
Amerigroup	$94 - $171	52%
CareSource	$94 - $256	52%
Clover Health	$108 - $168	60%
Oscar Health	$140 - $685	77%
WellCare	$103 - $160	57%
+ 1 smaller / regional plan	$108 - $168

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,054), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90847.

Insurance Before you use insurance

Call your insurance company to confirm Grady Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 90847.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Grady Memorial Hospital

Compare: Family therapy session at other GA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.