CMS Price Transparency Data

Family therapy session

Facility: Northside Hospital Duluth

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $335
  • Cash Discount Price: $416
  • vs. Medicare Baseline: 1.85x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Northside Hospital Duluth is $335. 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 3620 Howell Ferry Road, Duluth, GA.
Cash / Self-Pay
$416

Average discount available for prompt cash payment at this facility.

Insurance Median
$335

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: $335 (185%)
Cash: $416 (229% of Medicare)
Ins. Median: $335 (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
Ambetter / Centene $63 - $286 35%
Institutional Gwinnett County Govt $63 - $109 35%
Medicaid / KanCare $63 - $126 35%
Caresource $65 - $227 36%
Amerigroup $75 - $106 41%
Cigna $76 - $384 42%
Champus Va $77 42%
Blue Cross Blue Shield $140 - $424 77%
Us Dept Of Labor Wc $144 79%
Mti $171 94%
One Call Diagnostics $171 94%
Clear Springs Eon Health $175 97%
Medicare (plans) $175 - $210 97%
UnitedHealthcare $175 97%
Va Ccn $175 97%
Aetna $177 - $414 98%
Humana $177 - $182 98%
Bccp $178 98%
Cbww $178 98%
Truths Community $178 98%
Coventry $179 - $414 99%
Kaiser $180 - $530 99%
Tricare $180 99%
Wellcare $180 99%
Homelink $182 100%
Clover Health $184 101%
Pruitt Health Premier $184 101%
Georgia Reproductive Specialists $200 - $244 110%
Medlien Healthcare Services $200 - $244 110%
Fairly Group $201 111%
Med Care Solutions $225 - $274 124%
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%
Johnson Ferry Imaging $501 - $609 276%
Marietta Dermatology Clinical Research Inc $501 - $609 276%
Rabun County Boc $501 - $609 276%
West Paces Imaging Agreement $501 - $609 276%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3620 Howell Ferry Road, Duluth, GA 30096
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals