CMS Price Transparency Data

Family therapy session

Facility: Franklin General Hospital

Billing Code: 90847 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$207

about 1.1× the $181 Medicare rate · typically $110–$319

modeled estimate · not a bill or quote

What this hospital charges insurers

$85

Below the fair price — a good deal

about $122 under the fair price · 0.5× Medicare

Medicare pays $181 Fair price $207 This hospital $85 Cash price $474 Hospital's list price $527

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

One of the lower prices — 5 of 8 other IA hospitals charge more for the same procedure.

Cheapest $75 Priciest $115

Black dot = this hospital, among the 9 IA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Family therapy session is about $207 (about 1.1× the $181 Medicare rate). Franklin General Hospital charges insurers about $85, or about $474 in cash — below the fair price — a good deal. Located in Hampton, IA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
Blue Cross Blue Shieldmajor	$81 - $213	45%
Aetnamajor	$490 - $501	270%
Ambetter (Centene)	$220 - $337	121%
Amerigroup	$213 - $223	117%
Molina	$219 - $224	121%
Oscar Health	$316	174%
+ 7 smaller / regional plans	$211 - $448

Government programs also on file: Military & VA.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 474), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90847.

Insurance Before you use insurance

Call your insurance company to confirm Franklin General Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 90847.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Franklin General Hospital

Compare: Family therapy session at other IA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.