CMS Price Transparency Data

Family therapy session

Facility: Southeast Iowa Regional Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $119
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.66x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Southeast Iowa Regional Medical Center is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.66x the Medicare baseline. Located in 1221 South Gear Avenue, West Burlington, IA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$119

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%)
Insurance Median: $119 (66%)
Ins. Median: $119 (66% 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
Medicaid / KanCare $16 - $18 9%
American Healthplan Of Iowa - Midlevel $81 45%
United Behavioral Health Ma $83 - $87 46%
United Behavioral Health Rn $83 - $99 46%
United Behavioral Health Phd $94 - $99 52%
Humana $97 53%
United Behavioral Health Md $111 - $116 61%
Aetna $113 - $201 62%
Immergrun $114 63%
American Healthplan Of Iowa - Md $119 66%
Midlands Choice $119 66%
6 Degree $145 80%
Plain Church $145 80%
Blue Cross Blue Shield $150 - $224 83%
Absolute Solutions $201 111%
First Agency $201 111%
Multiplan $201 111%
Elap $211 - $302 116%
Henderson County $212 117%
UnitedHealthcare $242 133%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1221 South Gear Avenue, West Burlington, IA 52655
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals