CMS Price Transparency Data

Family therapy session

Facility: Northside Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $336
  • Cash Discount Price: $416
  • vs. Medicare Baseline: 1.85x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Northside Hospital is $336. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $416. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.85x the Medicare baseline. Located in 1000 Johnson Ferry Road, Ne, Atlanta, GA.
Cash / Self-Pay
$416

Average discount available for prompt cash payment at this facility.

Insurance Median
$336

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: $416 (229%)
Insurance Median: $336 (185%)
Cash: $416 (229% of Medicare)
Ins. Median: $336 (185% 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.

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
Champus Va $77 42%
Amerigroup $81 - $106 45%
Cigna $82 - $384 45%
Ambetter / Centene $91 - $286 50%
Medicaid / KanCare $91 - $127 50%
Caresource $94 - $227 52%
Blue Cross Blue Shield $140 - $424 77%
Mti $171 94%
One Call Diagnostics $171 94%
Clear Springs Eon Health $177 98%
Medicare (plans) $177 - $216 98%
UnitedHealthcare $177 98%
Va Ccn $177 98%
Humana $179 - $184 99%
Bccp $180 99%
Cbww $180 99%
Tricare $180 99%
Truths Community $180 99%
Aetna $181 - $414 100%
Coventry $181 - $414 100%
Homelink $182 100%
Kaiser $183 - $530 101%
Wellcare $183 101%
Clover Health $186 103%
Pruitt Health Premier $186 103%
Georgia Reproductive Specialists $200 - $244 110%
Medlien Healthcare Services $200 - $244 110%
Fairly Group $204 112%
Med Care Solutions $225 - $274 124%
Us Dept Of Labor Wc $225 124%
Oscar $235 - $286 130%
Health One Alliance_Ppo $276 - $335 152%
Quick Trip $276 - $335 152%
Northside Health Network $311 - $378 172%
Genex/Priority Care Solutions $337 186%
Spreemo $337 186%
Novanet_Ppo $351 - $426 194%
Phcs $376 - $457 207%
Authentic 4D $379 209%
Streamline Imaging $379 209%
Corvel Workers Comp $400 221%
Employers Choice Network $400 221%
Fieldale Farms Wc $421 232%
Georgia Workers Compensation $421 232%
Beech Steet $426 - $518 235%
Multiplan $426 - $518 235%
Multiplan Workers Comp $426 - $518 235%
Careiq $501 - $609 276%
Dekalb_Department Of Health $501 - $609 276%
Fifa $501 - $609 276%
Institutional Marietta Surgery Center $501 - $609 276%
Institutional Veterans Evaluation Services $501 - $609 276%
Rabun County Boc $501 - $609 276%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Johnson Ferry Road, Ne, Atlanta, GA 30342
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals