CMS Price Transparency Data

Family therapy session

Facility: University of Iowa Hospital & Clinics

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $225
Cash Discount Price: $243
vs. Medicare Baseline: 1.24x Medicare

The contracted insurance negotiated median rate for a Family therapy session at University of Iowa Hospital & Clinics is $225. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $243. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.24x the Medicare baseline. Located in 200 Hawkins Drive, Iowa City, IA.

Cash / Self-Pay

$243

Average discount available for prompt cash payment at this facility.

Insurance Median

$225

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: $243 (134%)

Insurance Median: $225 (124%)

Cash: $243 (134% of Medicare)

Ins. Median: $225 (124% 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.

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
Immergrun	$75 - $87	41%
Aetna	$100 - $1,791	55%
Iowa Total Care	$100 - $157	55%
Medical Associates	$100 - $439	55%
Molina Healthcare	$100 - $139	55%
UnitedHealthcare	$100 - $605	55%
Blue Cross Blue Shield	$102 - $167	56%
Healthpartners	$102 - $382	56%
American Health Plan	$105 - $159	58%
Wellpoint (Amerigroup)	$105 - $159	58%
Quad City Community Healthcare	$150 - $260	83%
Midlands Choice	$158 - $395	87%
Oscar Health	$189 - $219	104%
Great River Health Systems	$210 - $243	116%
Aplos Health Plan	$225 - $278	124%
Sedgwick	$240 - $278	132%
Global Excel	$255 - $295	141%
Sanford Health Plan	$255 - $295	141%
Sisco	$264 - $305	146%
Employee Benefit Systems	$270 - $312	149%
Healthsmart	$270 - $312	149%
Hfn	$276 - $319	152%
Multiplan	$276 - $319	152%

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 $243.
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 University of Iowa Hospital & Clinics 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.