CMS Price Transparency Data
Family therapy session
Facility: Saint Alphonsus Regional Medical Center
Billing Code: 90847 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90847
- Insurance Median: $277
- Cash Discount Price: $206
- vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Saint Alphonsus Regional Medical Center is $277. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $206. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.53x the Medicare baseline. Located in 1055 North Curtis Road, Boise, ID.
Cash / Self-Pay
$206
Average discount available for prompt cash payment at this facility.
Insurance Median
$277
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: $206 (114%)
Insurance Median: $277 (153%)
Cash: $206 (114% of Medicare)
Ins. Median: $277 (153% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $90 - $136 | 50% |
| Ada County Jail Inmate Ins | $95 | 52% |
| Centurion Of Idaho | $95 | 52% |
| Id County Ada | $95 | 52% |
| Id County Canyon | $95 | 52% |
| Id County Cat Fund | $95 | 52% |
| Id County Payette | $95 | 52% |
| Idaho Dept Health And Wellfare | $95 | 52% |
| Trillium Community Ohp | $136 | 75% |
| Blue Shield - Id (Regence) | $137 - $502 | 76% |
| Selecthealth | $183 - $285 | 101% |
| Mountain Health Co-Op | $190 | 105% |
| Pacificsource Health Plans | $190 - $231 | 105% |
| Blue Cross Blue Shield | $230 - $256 | 127% |
| Columbia Health Network | $231 | 127% |
| Allegiance | $235 | 130% |
| Bcn Domestic | $256 | 141% |
| Blue Benefit Administrators Of Massachusetts | $256 | 141% |
| Blue Care Network | $256 | 141% |
| Blue Distinction Transplant | $256 | 141% |
| Blue Shield - Ca | $256 | 141% |
| Blue Shield - Ny Highmark Northeastern | $256 | 141% |
| Blue Shield - Ny Highmark Western | $256 | 141% |
| Blue Shield - Pa (Highmark) | $256 | 141% |
| Blue Shield - Wa (Regence) | $256 - $502 | 141% |
| Health Choices | $256 | 141% |
| Kaiser Domestic | $256 | 141% |
| Pre-Employment | $256 | 141% |
| Wc Domestic | $256 | 141% |
| Employee Benefit Management | $269 | 148% |
| First Choice Health | $269 | 148% |
| Providence | $269 - $277 | 148% |
| Webtpa | $269 | 148% |
| Cigna | $277 | 153% |
| Priority Health | $277 | 153% |
| Allied National Global Care | $285 | 157% |
| Asrm - Reliance Standard Life Insurance | $285 | 157% |
| Christian Care Ministry | $285 | 157% |
| Dean Health | $285 | 157% |
| Fallon Health | $285 | 157% |
| Family Life Insurance Company | $285 | 157% |
| First Health | $285 | 157% |
| Ghc Scw | $285 | 157% |
| Healthnet | $285 | 157% |
| International Benefit Administrators | $285 | 157% |
| Lifetime Benefit Solutions | $285 | 157% |
| Manhattan Life | $285 | 157% |
| Medi Share | $285 | 157% |
| Moda Health | $285 | 157% |
| Pai | $285 | 157% |
| Pan-American Life | $285 | 157% |
| Paramount Hmo | $285 | 157% |
| Phcs | $285 | 157% |
| Trinity Health Share | $285 | 157% |
| Aetna | $291 | 160% |
| Allied Benefit Systems | $291 | 160% |
| Ameriben | $291 | 160% |
| Asr Health Benefits | $291 | 160% |
| Boon Chapman | $291 | 160% |
| Christian Brother Services | $291 | 160% |
| Geha | $291 | 160% |
| Healthez | $291 | 160% |
| Luminare Health (Detroit) | $291 | 160% |
| Meritain | $291 | 160% |
| Rural Carrier Health Benefit Plan | $291 | 160% |
| Humana | $317 | 175% |
| UnitedHealthcare | $317 | 175% |
| Asuris Northwest Health | $502 | 277% |
| Healthcare Management Admin | $502 | 277% |