CMS Price Transparency Data

Family therapy session

Facility: Decatur County Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $318
  • Cash Discount Price: $318
  • vs. Medicare Baseline: 1.75x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Decatur County Hospital is $318. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $318. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.75x the Medicare baseline. Located in 1405 Nw Church Street, Leon, IA.
Cash / Self-Pay
$318

Average discount available for prompt cash payment at this facility.

Insurance Median
$318

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: $318 (175%)
Insurance Median: $318 (175%)
Cash: $318 (175% of Medicare)
Ins. Median: $318 (175% 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
Wellmark Hmo $81 45%
Wellmark Ppo - All Other Plans $89 49%
Blue Cross Blue Shield $127 70%
Champva -All Plans $179 99%
Everystep Hospice-All Plans $207 114%
Aetna $215 - $314 119%
Tricare $215 119%
Benefit Admin System-All Plans $259 143%
Humana $291 160%
Meritain Health-All Plans $291 160%
Misc Commercial-All Plans $291 160%
All Savers-All Plans $298 164%
Allied Benefit System-All Plans $298 164%
American Family Ins Grp-All Plans $298 164%
Rural Carrier Benefit Plan-All Plans $306 169%
Christian Healthcare -All Plans $318 175%
Medica-All Other Plans $318 175%
Golden Rule-All Plans $338 186%
Ntca The Rural Broadband-All Plans $338 186%
UnitedHealthcare $338 186%
Cigna $342 189%
Medical Mutual-All Plans $350 193%
Farm Bureau Financial-All Other Plans $358 197%
Farm Bureau Property And Ca $358 197%
Medi Share-All Plans $362 200%
Uhss-All Plans $362 200%
Health Partners-All Plans $366 202%
Lewermark-All Plans $378 208%
Mail Handlers Benefit-All Plans $390 215%
Midlands Choice-All Plans $390 215%
Priority Health-All Plans $398 219%
Iowa Total Care Mcaid-All Plans $406 224%
Amerigroup Mcaid-All Plans $418 231%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1405 Nw Church Street, Leon, IA 50144
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals