CMS Price Transparency Data

Family therapy session

Facility: Washington County Hospital and Clinics

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $122
Cash Discount Price: $212
vs. Medicare Baseline: 0.67x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Washington County Hospital and Clinics is $122. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $212. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.67x the Medicare baseline. Located in 400 East Polk Street, Washington, IA.

Cash / Self-Pay

$212

Average discount available for prompt cash payment at this facility.

Insurance Median

$122

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: $212 (117%)

Insurance Median: $122 (67%)

Cash: $212 (117% of Medicare)

Ins. Median: $122 (67% 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
Healthpartners Mcr Adv	$99 - $121	55%
Med Assoc Mcr Adv	$100 - $118	55%
Aetna	$101 - $287	56%
Blue Cross Blue Shield	$101 - $279	56%
Health Alliance Mcr Adv	$102 - $118	56%
Humana	$102 - $121	56%
Ia Total Care Wellcare Mcr Adv	$103 - $122	57%
Wellpoint Mcr Adv Amerigrp - All Other Plans	$103 - $122	57%
Molina Mcr Adv - All Other Plans	$105 - $122	58%
Midlands Choice - All Plans	$115 - $252	63%
Ia Total Care Mcaid	$124 - $270	68%
Medicaid / KanCare	$124 - $270	68%
Wellpoint Mcaid Amerigrp	$124 - $270	68%
Ambetter / Centene	$170	94%
Med Assoc Hlth Choices Profee Only - All Otherplan	$199	110%
Healthpartners - All Other Plans	$220 - $252	121%
Health Alliance Comm - All Other Plans	$234 - $281	129%

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 $212.
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 Washington County Hospital and 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.