CMS Price Transparency Data

Family therapy session

Facility: Piedmont Eastside Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $1,133
Cash Discount Price: $1,010
vs. Medicare Baseline: 6.25x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Piedmont Eastside Medical Center is $1,133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,010. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 6.25x the Medicare baseline. Located in 1700 Medical Way, Snellville, GA.

Cash / Self-Pay

$1,010

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,133

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: $1,010 (557%)

Insurance Median: $1,133 (625%)

Cash: $1,010 (557% of Medicare)

Ins. Median: $1,133 (625% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 625% of the Medicare baseline (a markup of 525%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
UnitedHealthcare	$284 - $2,204	157%
Aetna	$340 - $2,456	187%
Cigna	$387 - $741	213%
Medicaid / KanCare	$656 - $832	362%
Phcs [10601]	$2,019	1113%
Industry Buying Group [10840]	$2,187	1206%
First Health [10303]	$2,356	1299%
Kaiser [10500]	$2,490	1373%
Novanet [10819]	$2,524	1392%
Multiplan [10600]	$3,028	1670%

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 $1,010.
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 Piedmont Eastside 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.