CMS Price Transparency Data

Family therapy session

Facility: Davis County Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $219
Cash Discount Price: $386
vs. Medicare Baseline: 1.21x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Davis County Hospital is $219. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $386. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.21x the Medicare baseline. Located in 509 North Madison Street, Bloomfield, IA.

Cash / Self-Pay

$386

Average discount available for prompt cash payment at this facility.

Insurance Median

$219

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: $386 (213%)

Insurance Median: $219 (121%)

Cash: $386 (213% of Medicare)

Ins. Median: $219 (121% 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
Aetna	$193	106%
Blue Cross Blue Shield	$203 - $224	112%
Choicecare Mcr Adv	$208	115%
Home State Hlth Exch - All Other Plans	$208	115%
Home State Hlth Mcr	$208	115%
Mt Carmel Hp-All Plans	$208	115%
Tricare	$208	115%
Amerigroup Mcr Adv-All Other Plans	$213	117%
American Hp Mcr Adv-All Plans	$219	121%
Home State Hlth Mcaid	$232	128%
Iowa Total Care Mcaid-All Plans	$236	130%
Molina Mcaid-All Plans	$240	132%
Amerigroup Mcaid	$241	133%
Midlands Choice - All Plans	$270	149%
Preferred Hlth Choices - All Plans	$290	160%
Choicecare Comm - All Other Plans	$367	202%

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 $386.
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 Davis County Hospital 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.