CMS Price Transparency Data

Family therapy session

Facility: St Lukes Regional Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $160
  • Cash Discount Price: $239
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a Family therapy session at St Lukes Regional Medical Center is $160. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $239. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.88x the Medicare baseline. Located in 2720 Stone Park Boulevard, Sioux City, IA.
Cash / Self-Pay
$239

Average discount available for prompt cash payment at this facility.

Insurance Median
$160

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: $239 (132%)
Insurance Median: $160 (88%)
Cash: $239 (132% of Medicare)
Ins. Median: $160 (88% 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
Nebraska Total Care $78 43%
Aetna $100 - $393 55%
Blue Cross Blue Shield $102 - $160 56%
Molina $102 - $160 56%
Amerivantage $105 - $164 58%
Humana $105 - $164 58%
UnitedHealthcare $105 - $429 58%
Amerigroup $142 78%
Iowa Total Care $142 78%
Wellmark Uph Self-Funded $149 82%
Avera Health Plan $151 83%
Health Partners Open Network $160 - $240 88%
Cigna $254 140%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2720 Stone Park Boulevard, Sioux City, IA 51104
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals